NPI | 1346773629 |
---|---|
Doing Business As | DENTAL EXPRESS |
Entity Type | Organization |
Authorized Contact | GLENN CASEY ASHMORE Dentist/Owner 619-701-6622 |
Organization Subpart ? | No |
Primary Taxonomy | 122300000X Dentist (Licence: CA 6319) |
Enumeration Date | 2017-04-04 |
Last Update Date | 2017-04-04 |