NPI | 1508250317 |
---|---|
Doing Business As | APOLLONIA DENTAL |
Entity Type | Organization |
Authorized Contact | JOSEPH MARVIZI Owner 562-595-4123 |
Organization Subpart ? | No |
Primary Taxonomy | 305R00000X Preferred Provider Organization (Licence: CA 31829) |
Enumeration Date | 2015-03-19 |
Last Update Date | 2015-03-19 |