NPI | 1396830790 |
---|---|
Doing Business As | MARKETPLACE DENTAL GROUP |
Entity Type | Organization |
Authorized Contact | BRYAN WATANABE Owner Dds 951-245-8664 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice |
Enumeration Date | 2006-10-03 |
Last Update Date | 2009-06-04 |