NPI | 1336916584 |
---|---|
Doing Business As | NC FAMILY DENTAL |
Entity Type | Organization |
Authorized Contact | JULIAN ANTHONY WADE President 760-740-2595 |
Organization Subpart ? | No |
Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
Enumeration Date | 2023-12-07 |
Last Update Date | 2023-12-07 |