NPI | 1639584717 |
---|---|
Doing Business As | ST. JOSEPH DENTAL ASSOCIATES |
Entity Type | Organization |
Authorized Contact | ROBERT JON ELDERS Secretary 714-788-1249 |
Organization Subpart ? | No |
Primary Taxonomy | 122300000X Dentist |
Enumeration Date | 2014-06-26 |
Last Update Date | 2021-01-15 |