| NPI | 1376194639 |
|---|---|
| Doing Business As | ANTELOPE VALLEY DENTAL SURGERY CENTER |
| Entity Type | Organization |
| Authorized Contact | LEONOR PINEDA Insurance Coordinator 661-450-0116 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0300X Dentist, Periodontics |
| Enumeration Date | 2019-09-26 |
| Last Update Date | 2020-05-14 |