NPI | 1235453184 |
---|---|
Doing Business As | DBA:MONTAGUE HILLS DENTISTRY |
Entity Type | Organization |
Authorized Contact | JOSE A. CELIS Vice Presidnet/Co Owner 408-262-9999 |
Organization Subpart ? | Yes |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 51903) |
Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: CA 43430) |
Enumeration Date | 2010-03-22 |
Last Update Date | 2010-03-22 |