NPI | 1457850059 |
---|---|
Former Legal Business Name | RK DENTAL INC |
Entity Type | Organization |
Authorized Contact | RHONDA KALASHO Owner/Dentist 619-729-8068 |
Organization Subpart ? | No |
Primary Taxonomy | 122300000X Dentist (Licence: CA 100175) |
Additional Taxonomies | 261QD0000X Clinic/Center, Dental |
Enumeration Date | 2018-02-08 |
Last Update Date | 2021-09-29 |