NPI | 1487136735 |
---|---|
Doing Business As | ADVANCED COSMETIC DENTISTRY |
Entity Type | Organization |
Authorized Contact | SUZANNE POPP Dentist 619-435-4444 |
Organization Subpart ? | No |
Primary Taxonomy | 122300000X Dentist (Licence: CA 102831) |
Additional Taxonomies | 122300000X Dentist (Licence: CA 37898) |
Enumeration Date | 2018-09-04 |
Last Update Date | 2018-09-04 |