| NPI | 1225851009 |
|---|---|
| Doing Business As | CRESTVIEW FAMILY DENTAL |
| Entity Type | Organization |
| Authorized Contact | DANIEL MILLIGAN Owner 916-462-2003 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2024-11-01 |
| Last Update Date | 2024-11-01 |