NPI | 1598942831 |
---|---|
Doing Business As | SAN JACINTO DENTAL CENTER |
Entity Type | Organization |
Authorized Contact | KENVIS NGOW Dentist 951-654-9700 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 48753) |
Enumeration Date | 2008-01-29 |
Last Update Date | 2008-01-29 |