NPI | 1376174508 |
---|---|
Doing Business As | ROSECRANS SQUARE DENTAL |
Entity Type | Organization |
Authorized Contact | EUN SOO LEE CEO 562-406-3826 |
Organization Subpart ? | No |
Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
Enumeration Date | 2020-01-27 |
Last Update Date | 2023-03-15 |