NPI | 1578686838 |
---|---|
Doing Business As | MARY DENTAL OFFICE |
Entity Type | Organization |
Authorized Contact | DIVYA R DOSHI CEO 408-739-0093 |
Organization Subpart ? | No |
Primary Taxonomy | 261QD0000X Clinic/Center Dental (Licence: CA 39626) |
Enumeration Date | 2007-04-09 |
Last Update Date | 2015-06-26 |