NPI | 1205328291 |
---|---|
Doing Business As | AUTHENTIC DENTAL STUDIO, DENTAL OFFICE OF DR. DAO |
Entity Type | Organization |
Authorized Contact | SHANNIKA TRICIA DAO President 530-222-4900 |
Organization Subpart ? | No |
Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: CA 64200) |
Enumeration Date | 2018-06-05 |
Last Update Date | 2019-09-05 |