NPI | 1659943280 |
---|---|
Doing Business As | WALNUT PLAZA DENTAL |
Entity Type | Organization |
Authorized Contact | MATTHEW KIM CEO 209-642-9340 |
Organization Subpart ? | No |
Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
Enumeration Date | 2021-07-13 |
Last Update Date | 2022-08-18 |