| NPI | 1477993376 |
|---|---|
| Doing Business As | GREENHAVEN PEDIATRIC DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | BRENDA J HO President 916-594-9444 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: CA 51077) |
| Enumeration Date | 2013-06-25 |
| Last Update Date | 2019-06-03 |