| NPI | 1306483540 |
|---|---|
| Former Legal Business Name | CARLOS BAHAMON DDS PC |
| Entity Type | Organization |
| Authorized Contact | CARLOS BAHAMON Dr./Owner 661-416-5011 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2019-12-06 |
| Last Update Date | 2019-12-06 |