| NPI | 1477077097 |
|---|---|
| Doing Business As | CROSSROADS DENTAL GROUP |
| Entity Type | Organization |
| Authorized Contact | ROSI SHRESTHA Owner 310-326-3657 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 58146) |
| Additional Taxonomies | 122300000X Dentist (Licence: CA 58146) |
| 1223E0200X Dentist, Endodontics (Licence: CA 55715) | |
| 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: CA A83449) | |
| Enumeration Date | 2017-07-26 |
| Last Update Date | 2022-07-21 |