NPI | 1215647920 |
---|---|
Doing Business As | BLOSSOM FAMILY DENTISTRY |
Entity Type | Organization |
Authorized Contact | ANA MELISSA ESCOBAR SAYOC President 408-362-9000 |
Organization Subpart ? | No |
Primary Taxonomy | 122300000X Dentist |
Enumeration Date | 2022-12-05 |
Last Update Date | 2022-12-05 |