NPI | 1225496524 |
---|---|
Doing Business As | DEL SUR RANCH DENTAL |
Entity Type | Organization |
Authorized Contact | BRIAN DAVEY Dentist 8585-759-2700 |
Organization Subpart ? | No |
Primary Taxonomy | 122300000X Dentist (Licence: CA 47608) |
Enumeration Date | 2016-02-02 |
Last Update Date | 2016-02-02 |