NPI | 1396105060 |
---|---|
Doing Business As | RANCHO PALOS VERDES DENTISTRY DENTAL GROUP |
Entity Type | Organization |
Authorized Contact | SHAWN LEE Owner Doctor 310-750-2470 |
Organization Subpart ? | No |
Primary Taxonomy | 122300000X Dentist |
Enumeration Date | 2016-02-24 |
Last Update Date | 2016-02-24 |