NPI | 1275896953 |
---|---|
Doing Business As | IDENTAL GROUP |
Entity Type | Organization |
Authorized Contact | RICHARD LEE President 408-830-0123 |
Organization Subpart ? | No |
Primary Taxonomy | 122300000X Dentist (Licence: CA 55731) |
Enumeration Date | 2012-06-19 |
Last Update Date | 2012-06-19 |