| NPI | 1265853881 |
|---|---|
| Doing Business As | GENESIS DENTAL GROUP |
| Entity Type | Organization |
| Authorized Contact | ROBERT TOMAS CADALSO President 949-770-5266 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: CA 30639) |
| Enumeration Date | 2013-12-27 |
| Last Update Date | 2014-08-22 |