NPI | 1568005957 |
---|---|
Doing Business As | CONCORD ADVANCED DENTISTRY |
Entity Type | Organization |
Authorized Contact | SCOTT POPE President 925-939-4989 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice |
Enumeration Date | 2019-10-18 |
Last Update Date | 2019-10-18 |