| NPI | 1417120700 |
|---|---|
| Doing Business As | PROMENADE DENTAL GROUP |
| Entity Type | Organization |
| Authorized Contact | AMARDEEP GILL Owner Doctor 916-285-6691 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2008-04-08 |
| Last Update Date | 2013-08-13 |