NPI | 1417357518 |
---|---|
Doing Business As | IN MOTION DENTISTS |
Entity Type | Organization |
Authorized Contact | WADE MELVIN BANNER Owner 626-594-0374 |
Organization Subpart ? | No |
Primary Taxonomy | 122300000X Dentist (Licence: CA 63601) |
Additional Taxonomies | 261QD0000X Clinic/Center, Dental |
Enumeration Date | 2014-08-26 |
Last Update Date | 2024-05-28 |