| NPI | 1235147174 |
|---|---|
| Doing Business As | SOUTH BAY CENTER FOR AESTHETIC DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | RONALD E MILEHAM Owner 310-547-0700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: CA 23350) |
| Enumeration Date | 2006-08-04 |
| Last Update Date | 2020-08-22 |