| NPI | 1619654183 |
|---|---|
| Doing Business As | WEST COAST DENTAL & ORTHODONTICS, ADULT & KIDS DENTAL GROUP |
| Entity Type | Organization |
| Authorized Contact | MIGUEL REYES Q/A Contract & Compliance Manager 310-409-4225 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2023-06-28 |
| Last Update Date | 2023-11-16 |