NPI | 1275816753 |
---|---|
Doing Business As | SANTA CRUZ DENTAL OFFICE |
Entity Type | Organization |
Authorized Contact | MIGUEL URIBE President 909-874-7421 |
Organization Subpart ? | No |
Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: CA 44113) |
Enumeration Date | 2011-09-21 |
Last Update Date | 2011-09-21 |