NPI | 1245624873 |
---|---|
Doing Business As | CORNERSTONE SMILES FAMILY DENTISTRY |
Entity Type | Organization |
Authorized Contact | RYAN RAY RABAGO DELA CRUZ Owner/Dentist 707-673-2570 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 63758) |
Enumeration Date | 2015-03-20 |
Last Update Date | 2015-03-20 |