| NPI | 1396184727 |
|---|---|
| Former Legal Business Name | HARBOR DENTAL ASSOCIATES |
| Entity Type | Organization |
| Authorized Contact | CHRIS PATEL Manager 310-971-8178 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 302R00000X Health Maintenance Organization (Licence: CA 49973) |
| Enumeration Date | 2013-06-19 |
| Last Update Date | 2013-06-19 |