NPI | 1538983267 |
---|---|
Doing Business As | GENTLE FAMILY DENTISTRY |
Entity Type | Organization |
Authorized Contact | ROGER VAN PHAM President 714-603-1795 |
Organization Subpart ? | No |
Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
Enumeration Date | 2024-11-11 |
Last Update Date | 2024-11-11 |