| NPI | 1245751924 |
|---|---|
| Doing Business As | PROMENADE DENTISTS DENTAL GROUP |
| Entity Type | Organization |
| Authorized Contact | JUSTIN MERCER Owner 858-703-1012 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist |
| Enumeration Date | 2017-07-03 |
| Last Update Date | 2022-03-08 |