NPI | 1457535700 |
---|---|
Doing Business As | KEARNY DENTAL |
Entity Type | Organization |
Authorized Contact | GREGORY PARKE DAVIS President 858-292-8180 |
Organization Subpart ? | No |
Primary Taxonomy | 122300000X Dentist (Licence: CA 21869) |
Enumeration Date | 2007-12-21 |
Last Update Date | 2007-12-21 |