NPI | 1235506494 |
---|---|
Doing Business As | MOYNEUR AND PERISHO FAMILY DENTISTRY |
Entity Type | Organization |
Authorized Contact | JOSHUA PERISHO President 916-421-4686 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice |
Enumeration Date | 2015-08-24 |
Last Update Date | 2015-08-24 |