NPI | 1558484527 |
---|---|
Former Legal Business Name | RIVER ARCH DENTAL GROUP |
Entity Type | Organization |
Authorized Contact | LAN THAI DINH President 909-923-2273 |
Organization Subpart ? | No |
Primary Taxonomy | 122300000X Dentist (Licence: CA 49743) |
Enumeration Date | 2007-04-06 |
Last Update Date | 2008-09-06 |