NPI | 1558081430 |
---|---|
Doing Business As | SEQUOIA DENTISTRY |
Entity Type | Organization |
Authorized Contact | JEFFREY PRONILOFF Owner 818-437-5060 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice |
Enumeration Date | 2022-08-31 |
Last Update Date | 2022-08-31 |