NPI | 1588870695 |
---|---|
Doing Business As | CROSSROADS DENTAL CARE |
Entity Type | Organization |
Authorized Contact | VINCENT PATRICK LIM President 707-552-3816 |
Organization Subpart ? | No |
Primary Taxonomy | 122300000X Dentist (Licence: CA 52638) |
Enumeration Date | 2007-05-15 |
Last Update Date | 2020-08-22 |