| 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 |