NPI | 1245891829 |
---|---|
Doing Business As | INNOVA PERIODONTICS & IMPLANT DENTISTRY |
Entity Type | Organization |
Authorized Contact | COMEL REHMAN AHMAD Business Manager 916-705-5754 |
Organization Subpart ? | No |
Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
Enumeration Date | 2019-06-25 |
Last Update Date | 2019-06-25 |