NPI | 1275759912 |
---|---|
Doing Business As | ALPHA DENATL GROUP |
Entity Type | Organization |
Authorized Contact | KIRILL Z. KVITKO President 818-907-8383 |
Organization Subpart ? | No |
Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: CA 45382) |
Enumeration Date | 2007-04-18 |
Last Update Date | 2020-08-22 |