NPI | 1548388705 |
---|---|
Doing Business As | BONAVENTURA DENTAL CARE |
Entity Type | Organization |
Authorized Contact | DAVID A REFAEE Provider 408-943-9443 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 44769) |
Enumeration Date | 2007-03-27 |
Last Update Date | 2007-07-17 |