NPI | 1336404763 |
---|---|
Doing Business As | MONARCH DENTAL - RIVERDALE |
Entity Type | Organization |
Authorized Contact | LILIANA MARTINEZ Credentialing Director 949-308-9792 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist General Practice |
Enumeration Date | 2012-07-11 |
Last Update Date | 2024-04-08 |