NPI | 1619184439 |
---|---|
Doing Business As | WEST COVINA DENTAL |
Entity Type | Organization |
Authorized Contact | DENNIS R FRATT Owner 714-428-1200 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice |
Enumeration Date | 2007-05-17 |
Last Update Date | 2020-08-22 |