| NPI | 1265037444 |
|---|---|
| Doing Business As | MOBILE DENTAL |
| Entity Type | Organization |
| Authorized Contact | ROOP PHAGURA Secretary 510-323-3704 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Additional Taxonomies | 261QM2500X Clinic/Center, Medical Specialty |
| 261QS0112X Clinic/Center, Oral and Maxillofacial Surgery | |
| Enumeration Date | 2020-12-03 |
| Last Update Date | 2021-05-12 |