NPI | 1336533959 |
---|---|
Doing Business As | VISALIA MODERN DENTISTRY DENTAL GROUP |
Entity Type | Organization |
Authorized Contact | CAROLYN G GHAZAL Owner 559-334-2013 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice |
Enumeration Date | 2015-03-20 |
Last Update Date | 2015-03-20 |