NPI | 1255543807 |
---|---|
Doing Business As | DBA GENTLE DENTAL CORONA |
Entity Type | Organization |
Authorized Contact | WILLIAM J. COX President 800-684-6440 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 26160) |
Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: CA 43359) |
Enumeration Date | 2007-05-04 |
Last Update Date | 2020-01-08 |