| NPI | 1356839484 |
|---|---|
| Doing Business As | INDIO MODERN DENTISTRY DENTAL GROUP |
| Entity Type | Organization |
| Authorized Contact | ALEXANDER STRAN Owner 760-255-7597 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist |
| Enumeration Date | 2018-04-24 |
| Last Update Date | 2018-04-24 |