NPI | 1245838036 |
---|---|
Doing Business As | DIABLO DENTAL GROUP |
Entity Type | Organization |
Authorized Contact | KAMILE JUREVICIUTE LIM Director 408-608-4294 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice |
Enumeration Date | 2020-10-13 |
Last Update Date | 2020-10-13 |