NPI | 1588419170 |
---|---|
Doing Business As | STARMOON DENTAL GROUP |
Entity Type | Organization |
Authorized Contact | LETICIA FLORES Front Office 310-634-5137 |
Organization Subpart ? | Yes |
Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
Enumeration Date | 2024-04-18 |
Last Update Date | 2024-04-18 |