NPI | 1255787750 |
---|---|
Doing Business As | CARLSBAD VILLAGE FAIRE DENTISTS DENTAL GROUP |
Entity Type | Organization |
Authorized Contact | AMANDA A MERCER Owner 760-487-0203 |
Organization Subpart ? | No |
Primary Taxonomy | 122300000X Dentist |
Enumeration Date | 2016-05-13 |
Last Update Date | 2016-05-13 |