| NPI | 1639634728 |
|---|---|
| Doing Business As | PRISTINE DENTAL |
| Entity Type | Organization |
| Authorized Contact | FINA MADRID President 619-213-3431 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2019-02-04 |
| Last Update Date | 2019-02-04 |