NPI | 1427325794 |
---|---|
Doing Business As | LA PAZ DENTISTRY |
Entity Type | Organization |
Authorized Contact | RICHARD WENDELL WODISKE Owner 949-855-9525 |
Organization Subpart ? | No |
Primary Taxonomy | 122300000X Dentist (Licence: CA 31169) |
Enumeration Date | 2011-11-30 |
Last Update Date | 2011-11-30 |