NPI | 1255800868 |
---|---|
Doing Business As | NORTHERN EDGE DENTISTRY |
Entity Type | Organization |
Authorized Contact | GARRY B TRINH Office Manager 714-400-6339 |
Organization Subpart ? | No |
Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
Enumeration Date | 2018-11-13 |
Last Update Date | 2019-03-10 |