NPI | 1306384938 |
---|---|
Doing Business As | LITTLE STAR PEDIATRIC DENTISTRY |
Entity Type | Organization |
Authorized Contact | NAJMEH HANNANVASH Pediatric Dentist 619-630-4000 |
Organization Subpart ? | No |
Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: CA 61324) |
Enumeration Date | 2017-02-02 |
Last Update Date | 2020-03-04 |