NPI | 1487100160 |
---|---|
Doing Business As | BLANCO CIRCLE DENTAL CARE |
Entity Type | Organization |
Authorized Contact | GARY PHILLIP KLUGMAN Sole Proprietor 831-422-7838 |
Organization Subpart ? | No |
Primary Taxonomy | 122300000X Dentist (Licence: CA 26192) |
Enumeration Date | 2016-08-31 |
Last Update Date | 2016-08-31 |