NPI | 1265954184 |
---|---|
Doing Business As | MANZANITA DENTAL GROUP |
Entity Type | Organization |
Authorized Contact | GUNCHA SOHI Owner 916-333-3700 |
Organization Subpart ? | No |
Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: CA 65347) |
Enumeration Date | 2017-07-12 |
Last Update Date | 2017-07-12 |