| NPI | 1609266162 |
|---|---|
| Doing Business As | DENTAL SPECIALTY OF LA QUINTA |
| Entity Type | Organization |
| Authorized Contact | KWOR LOO Owner 760-564-0350 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223E0200X Dentist, Endodontics |
| Enumeration Date | 2015-02-04 |
| Last Update Date | 2015-02-04 |