NPI | 1457400269 |
---|---|
Doing Business As | WILSHIRE DENTAL GROUP |
Entity Type | Organization |
Authorized Contact | IRINA SUMENKO President 323-525-1819 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 42427) |
Enumeration Date | 2007-01-10 |
Last Update Date | 2020-08-22 |