NPI | 1548800576 |
---|---|
Doing Business As | CITY TERRACE DENTAL |
Entity Type | Organization |
Authorized Contact | AQUILEO MARTINEZ Owner 323-260-7173 |
Organization Subpart ? | No |
Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
Enumeration Date | 2020-01-07 |
Last Update Date | 2020-01-07 |