| NPI | 1508296450 |
|---|---|
| Doing Business As | CITRUS GROVE DENTAL |
| Entity Type | Organization |
| Authorized Contact | YINTAWATI SATYARAHARDJA President 626-966-0300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: CA 46955) |
| Enumeration Date | 2013-11-13 |
| Last Update Date | 2013-11-13 |