| NPI | 1548895634 |
|---|---|
| Doing Business As | SUAVE DENTAL #5 |
| Entity Type | Organization |
| Authorized Contact | AHMAD MOMANI CEO 209-527-3990 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2020-03-09 |
| Last Update Date | 2020-03-09 |