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 |