| NPI | 1336332725 |
|---|---|
| Doing Business As | CCS/GHPP DENTAL |
| Entity Type | Organization |
| Authorized Contact | RICARDO ROMAN CFO 619-515-2300 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: CA 090000113) |
| Enumeration Date | 2007-08-20 |
| Last Update Date | 2024-02-20 |