NPI | 1447942693 |
---|---|
Doing Business As | ADVANCED DENTAL IMPLANT CENTER OF SAN DIEGO |
Entity Type | Organization |
Authorized Contact | DANNY HOLTZCLAW Owner 858-292-5050 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice |
Enumeration Date | 2023-05-25 |
Last Update Date | 2023-05-25 |