| NPI | 1245094770 |
|---|---|
| Former Legal Business Name | AREA DENTAL OFFICE |
| Entity Type | Organization |
| Authorized Contact | THANH TRUONG Dentist 951-333-1907 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2024-02-06 |
| Last Update Date | 2024-04-18 |