| NPI | 1629304282 |
|---|---|
| Doing Business As | AMERICAN DENTAL GROUP OF WEST COVINA |
| Entity Type | Organization |
| Authorized Contact | NADER RAMZI President / Owner 626-337-7271 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: CA 41670) |
| Additional Taxonomies | 122300000X Dentist (Licence: CA 58522) |
| 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: CA 14915) | |
| 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: CA 25306) | |
| 124Q00000X Dental Hygienist (Licence: CA RDH16115) | |
| Enumeration Date | 2009-11-02 |
| Last Update Date | 2009-11-02 |