NPI | 1366701096 |
---|---|
Doing Business As | MISSION VALLEY DENTISTS |
Entity Type | Organization |
Authorized Contact | LANCE C RYGG Owner 619-220-0159 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 30251) |
Enumeration Date | 2012-05-15 |
Last Update Date | 2012-05-15 |