NPI | 1255653473 |
---|---|
Doing Business As | KINGSLY DENTISTRY |
Entity Type | Organization |
Authorized Contact | LYNGLADEN FERNANDEZ Owner 909-799-7777 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 54428) |
Enumeration Date | 2010-02-16 |
Last Update Date | 2010-02-16 |