| NPI | 1306111976 |
|---|---|
| Doing Business As | RANCHO SAN DIEGO DENTAL GROUP |
| Entity Type | Organization |
| Authorized Contact | JOEL B. HENRIOD Owner/Partnership 619-670-5571 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223D0001X Dentist, Dental Public Health (Licence: CA 55124) |
| Enumeration Date | 2012-03-15 |
| Last Update Date | 2019-05-21 |