NPI | 1417261132 |
---|---|
Doing Business As | EVEREST DENTAL CARE |
Entity Type | Organization |
Authorized Contact | JUAN POCHOLO B CANCIO President 323-423-5860 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 56585) |
Enumeration Date | 2010-08-05 |
Last Update Date | 2019-11-05 |