NPI | 1336675800 |
---|---|
Doing Business As | BIXBY KNOLLS MODERN DENTISTRY DENTAL GROUP |
Entity Type | Organization |
Authorized Contact | KINH LA-PHAM Owner Dentist 310-579-6465 |
Organization Subpart ? | No |
Primary Taxonomy | 122300000X Dentist |
Enumeration Date | 2017-05-03 |
Last Update Date | 2017-05-03 |