| NPI | 1548486038 |
|---|---|
| Doing Business As | CIVIC CENTER DENTAL GROUP |
| Entity Type | Organization |
| Authorized Contact | ERNEST TAUB President 619-474-6200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 09516) |
| Enumeration Date | 2007-04-17 |
| Last Update Date | 2020-08-22 |