NPI | 1538677604 |
---|---|
Doing Business As | THE DENTAL OFFICE ON SOQUEL CANYON |
Entity Type | Organization |
Authorized Contact | SHAFAQ QURBAN Owner Dentist 909-375-0133 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice |
Enumeration Date | 2018-01-11 |
Last Update Date | 2022-02-04 |