| NPI | 1467095349 |
|---|---|
| Doing Business As | CHERRY CHASE DENTAL |
| Entity Type | Organization |
| Authorized Contact | THU NGUYEN Owner 408-735-7535 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2019-10-23 |
| Last Update Date | 2019-10-23 |