NPI | 1427453281 |
---|---|
Doing Business As | GREAT EXPRESSION DENTAL |
Entity Type | Organization |
Authorized Contact | LAMISE KASSEM Owner/Dentist 1951-545-0592 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 51269) |
Enumeration Date | 2014-10-23 |
Last Update Date | 2014-10-23 |