NPI | 1376825794 |
---|---|
Doing Business As | MMSI DENTAL CENTER |
Entity Type | Organization |
Authorized Contact | EMMANUEL KANDKHOROV President 949-825-7799 |
Organization Subpart ? | No |
Primary Taxonomy | 122300000X Dentist (Licence: CA 50617) |
Enumeration Date | 2011-09-12 |
Last Update Date | 2018-01-08 |