NPI | 1407578370 |
---|---|
Doing Business As | FAIRVIEW DENTAL |
Entity Type | Organization |
Authorized Contact | WILLIAM HWANG Dentist 310-433-3521 |
Organization Subpart ? | No |
Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
Enumeration Date | 2022-09-16 |
Last Update Date | 2022-09-16 |