NPI | 1225783053 |
---|---|
Doing Business As | BREA MODERN DENTISTRY DENTAL GROUP |
Entity Type | Organization |
Authorized Contact | JEFFREY A. KRAMER Owner 714-252-6011 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice |
Enumeration Date | 2022-02-21 |
Last Update Date | 2022-02-21 |