| 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 |