NPI | 1396191896 |
---|---|
Doing Business As | WELLNESS DENTAL CENTER |
Entity Type | Organization |
Authorized Contact | ANDREY A ROSSIUS Dentist 805-496-3347 |
Organization Subpart ? | No |
Primary Taxonomy | 122300000X Dentist (Licence: CA DDS65189) |
Enumeration Date | 2016-05-13 |
Last Update Date | 2016-05-13 |