| NPI | 1558043042 |
|---|---|
| Doing Business As | NORDIC FAMILY DENTAL |
| Entity Type | Organization |
| Authorized Contact | LANCE RICHARD HARRIS General Dentist/Owner 760-213-2739 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2023-08-03 |
| Last Update Date | 2023-08-03 |