NPI | 1386868503 |
---|---|
Doing Business As | CHOICE DENTAL GROUP |
Entity Type | Organization |
Authorized Contact | SUSAN MAANAVI Owner 310-644-4000 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 35141) |
Enumeration Date | 2007-04-11 |
Last Update Date | 2020-08-22 |