NPI | 1255624953 |
---|---|
Former Legal Business Name | TRABUCO DENTAL |
Entity Type | Organization |
Authorized Contact | TAMMAM SHEABAR Owner 949-597-2444 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: CA 50824) |
Enumeration Date | 2011-05-27 |
Last Update Date | 2011-08-26 |