NPI | 1356524334 |
---|---|
Doing Business As | DESERT GATEWAY DENTAL GROUP |
Entity Type | Organization |
Authorized Contact | LANCE C RYGG Owner Doctor 760-610-0358 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice |
Enumeration Date | 2007-12-12 |
Last Update Date | 2010-10-13 |