NPI | 1275805996 |
---|---|
Former Legal Business Name | BRUCE J. UY D.M.D DENTAL CORPORATION |
Former Legal Business Name | SANTA MARIA DENTISTRY |
Entity Type | Organization |
Authorized Contact | REBECCA AHLERS Dentist 562-867-5191 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 36020) |
Enumeration Date | 2012-01-27 |
Last Update Date | 2020-07-24 |