NPI | 1578223582 |
---|---|
Doing Business As | VILLAGE DENTAL CARE |
Entity Type | Organization |
Authorized Contact | ROSELYN MANALO Credentialing Coordinator 714-941-9328 |
Organization Subpart ? | No |
Primary Taxonomy | 122300000X Dentist |
Enumeration Date | 2021-12-20 |
Last Update Date | 2021-12-20 |