NPI | 1639599129 |
---|---|
Doing Business As | ROSEVILLE DENTAL CENTER |
Entity Type | Organization |
Authorized Contact | HENRY VONG President 415-568-0761 |
Organization Subpart ? | No |
Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: CA 60037) |
Enumeration Date | 2014-04-23 |
Last Update Date | 2014-04-23 |