| NPI | 1306447057 |
|---|---|
| Doing Business As | PALM DENTISTRY SIENNA PALMER OGBEVOEN DDS, INC. |
| Entity Type | Organization |
| Authorized Contact | SIENNA PALMER OGBEVOEN President 949-375-2413 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist |
| Enumeration Date | 2020-11-07 |
| Last Update Date | 2021-06-02 |