NPI | 1598162141 |
---|---|
Doing Business As | MONARCH DENTAL - BOUNTIFUL |
Entity Type | Organization |
Authorized Contact | LILIANA MARTINEZ Credentialing Director 949-308-9792 |
Organization Subpart ? | No |
Primary Taxonomy | 122300000X Dentist |
Enumeration Date | 2014-11-25 |
Last Update Date | 2024-04-08 |