| NPI | 1578024691 |
|---|---|
| Doing Business As | BLOOMFIELD DENTAL CENTER |
| Entity Type | Organization |
| Authorized Contact | IHAAB WADIE GUERGUIS President 562-926-6502 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2019-03-29 |
| Last Update Date | 2019-03-29 |