NPI | 1306953690 |
---|---|
Doing Business As | PENASQUITOS POINT FAMILY DENTRISTRY |
Entity Type | Organization |
Authorized Contact | JIM S CHANG CEO 858-484-9776 |
Organization Subpart ? | No |
Primary Taxonomy | 122300000X Dentist (Licence: CA 34942) |
Enumeration Date | 2006-08-24 |
Last Update Date | 2020-08-22 |