| NPI | 1629235239 |
|---|---|
| Doing Business As | RIVERSIDE LA MAIDA DENTAL CARE |
| Entity Type | Organization |
| Authorized Contact | JEROME CHUA Office Manager 818-980-2647 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: CA 37076) |
| Enumeration Date | 2008-05-21 |
| Last Update Date | 2008-05-21 |