NPI | 1528805553 |
---|---|
Doing Business As | PROACTIVE DENTAL CLINIC CORP |
Entity Type | Organization |
Authorized Contact | SOLAMAN SHIRE Administrator 310-883-8932 |
Organization Subpart ? | No |
Primary Taxonomy | 1223D0001X Dentist, Dental Public Health |
Enumeration Date | 2024-07-09 |
Last Update Date | 2024-07-09 |