| NPI | 1205221454 |
|---|---|
| Doing Business As | GREENHAVEN DENTAL CARE |
| Entity Type | Organization |
| Authorized Contact | MONIKA GUGALE CEO 909-248-4253 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2015-04-04 |
| Last Update Date | 2015-04-04 |