| NPI | 1659045615 |
|---|---|
| Doing Business As | DIVINE DENTAL STUDIO |
| Entity Type | Organization |
| Authorized Contact | LOMESH JAYANTILAL POPAT Managing Member 209-207-7777 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Additional Taxonomies | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment |
| Enumeration Date | 2021-08-04 |
| Last Update Date | 2024-06-24 |