NPI | 1437810967 |
---|---|
Doing Business As | UPLAND PROSTHODONTICS |
Entity Type | Organization |
Authorized Contact | BRIAN GOODACRE Vice President 909-315-6235 |
Organization Subpart ? | No |
Primary Taxonomy | 1223P0700X Dentist, Prosthodontics |
Enumeration Date | 2022-01-06 |
Last Update Date | 2022-01-06 |