NPI | 1538815014 |
---|---|
Doing Business As | GOLD COAST DENTAL LA VERNE |
Entity Type | Organization |
Authorized Contact | ALAN BOVAL Chief Executive Officer 562-356-0948 |
Organization Subpart ? | Yes |
Primary Taxonomy | 1223G0001X Dentist, General Practice |
Enumeration Date | 2022-02-23 |
Last Update Date | 2022-02-23 |