| NPI | 1265993869 |
|---|---|
| Doing Business As | 450 DENTAL AESTHETICS GROUP |
| Entity Type | Organization |
| Authorized Contact | ADAM MILLER Partner 415-398-0411 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2019-03-27 |
| Last Update Date | 2019-03-27 |