| NPI | 1578261368 |
|---|---|
| Doing Business As | SOUTHWEST DENTAL |
| Entity Type | Organization |
| Authorized Contact | GRISHA R OVANESIAN Dentist Dds 760-770-0236 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center |
| Enumeration Date | 2023-02-21 |
| Last Update Date | 2023-02-21 |