NPI | 1326474370 |
---|---|
Doing Business As | ESTEY & CARPENTER FAMILY DENTAL PRACTICE |
Entity Type | Organization |
Authorized Contact | MARK JAMES CARPENTER Corporate President 909-335-1166 |
Organization Subpart ? | No |
Primary Taxonomy | 122300000X Dentist (Licence: CA 45230) |
Additional Taxonomies | 122300000X Dentist (Licence: CA 45253) |
122300000X Dentist (Licence: CA 28847) | |
Enumeration Date | 2013-09-23 |
Last Update Date | 2013-09-23 |