| 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 |