NPI | 1487207700 |
---|---|
Doing Business As | SHOOK DENTAL CARE |
Entity Type | Organization |
Authorized Contact | VICTORIA ANN SHOOK C.E.O./Dentist 310-548-2830 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice |
Enumeration Date | 2019-07-17 |
Last Update Date | 2019-07-17 |