| NPI | 1649572215 |
|---|---|
| Former Legal Business Name | AESTHETIC EDGE DENTISTRY PC |
| Entity Type | Organization |
| Authorized Contact | KANWAR GILL Secretary 559-447-8490 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: CA 58363) |
| Enumeration Date | 2010-12-02 |
| Last Update Date | 2012-11-30 |