| NPI | 1518183003 |
|---|---|
| Doing Business As | MELROSE SQUARE DENTAL GROUP |
| Entity Type | Organization |
| Authorized Contact | STUART TANI President 760-727-6800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 32622) |
| Enumeration Date | 2007-04-17 |
| Last Update Date | 2020-08-22 |