| NPI | 1427798941 |
|---|---|
| Former Legal Business Name | SYNERGY DENTAL GROUP |
| Entity Type | Organization |
| Authorized Contact | JULIAN ANTHONY WADE Owner 858-573-2833 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2022-03-31 |
| Last Update Date | 2022-03-31 |