| NPI | 1548916398 |
|---|---|
| Other Name | ORAL PRIME |
| Doing Business As | ORAL PRIME |
| Entity Type | Organization |
| Authorized Contact | NORVA GAMBOA President 858-524-1257 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2022-03-01 |
| Last Update Date | 2022-06-08 |