| NPI | 1487067344 |
|---|---|
| Doing Business As | NORTHWEST FAMILY DENTAL |
| Entity Type | Organization |
| Authorized Contact | ROSA LESSO Chief Financial Officer 714-571-3471 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: FL DN12241) |
| Enumeration Date | 2014-06-09 |
| Last Update Date | 2024-02-02 |