| NPI | 1427566553 |
|---|---|
| Doing Business As | GREENLEAF DENTAL SPA |
| Entity Type | Organization |
| Authorized Contact | CECILLIA TU Manager 626-695-7448 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: CA 56784) |
| Enumeration Date | 2018-01-10 |
| Last Update Date | 2019-04-22 |