| NPI | 1386274579 |
|---|---|
| Doing Business As | CARMEL VILLAGE DENTAL |
| Entity Type | Organization |
| Authorized Contact | WIAM JABBAR Owner/Dentist 858-451-0908 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2020-01-16 |
| Last Update Date | 2020-02-28 |