NPI | 1437748670 |
---|---|
Doing Business As | DENTAL FACULTY ASSOCIATES |
Entity Type | Organization |
Authorized Contact | LILIANA MARTINEZ Director Payer Contracting 949-308-9792 |
Organization Subpart ? | Yes |
Primary Taxonomy | 122300000X Dentist |
Enumeration Date | 2021-01-12 |
Last Update Date | 2021-01-12 |