NPI | 1508285503 |
---|---|
Doing Business As | HUNTINGTON BEACH MODERN DENTISTRY |
Entity Type | Organization |
Authorized Contact | NICOLE SMITH Owne Doctor 714-536-2383 |
Organization Subpart ? | No |
Primary Taxonomy | 122300000X Dentist |
Enumeration Date | 2014-04-08 |
Last Update Date | 2014-04-08 |