| NPI | 1275090946 |
|---|---|
| Doing Business As | RESEDA DENTAL CARE |
| Entity Type | Organization |
| Authorized Contact | STANLEY WAYNE ATKINSON President/CEO 831-484-5294 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2019-02-28 |
| Last Update Date | 2019-02-28 |