NPI | 1205211364 |
---|---|
Doing Business As | NORRIS CANYON DENTAL |
Entity Type | Organization |
Authorized Contact | RYAN RAY DELA CRUZ CEO/President 925-309-4539 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 63758) |
Enumeration Date | 2015-07-29 |
Last Update Date | 2016-12-08 |