NPI | 1669826897 |
---|---|
Doing Business As | DODDS DENTAL |
Entity Type | Organization |
Authorized Contact | DUSTIN ROY COVERT DODDS Owner/President 562-439-0754 |
Organization Subpart ? | No |
Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: CA 64207) |
Additional Taxonomies | 261QD0000X Clinic/Center, Dental (Licence: CA 64202) |
Enumeration Date | 2016-04-13 |
Last Update Date | 2016-04-13 |