| NPI | 1598481228 |
|---|---|
| Doing Business As | NOHO MODERN DENTISTRY DENTAL GROUP |
| Entity Type | Organization |
| Authorized Contact | JORDAN CHELSEY DOUGLAS Owner 818-616-7817 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2022-10-14 |
| Last Update Date | 2022-10-14 |