NPI | 1245650654 |
---|---|
Doing Business As | DBA: GRAND DENTAL GROUP |
Entity Type | Organization |
Authorized Contact | CINDY MAI TRAN CEO/President 714-454-7064 |
Organization Subpart ? | Yes |
Primary Taxonomy | 122300000X Dentist (Licence: CA 47814) |
Enumeration Date | 2014-04-24 |
Last Update Date | 2014-11-13 |