NPI | 1639731888 |
---|---|
Doing Business As | CORONA MODERN DENTISTRY DENTAL GROUP |
Entity Type | Organization |
Authorized Contact | TREVOR J THOMAS Owner 951-531-9693 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice |
Enumeration Date | 2019-07-08 |
Last Update Date | 2019-07-08 |