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 |