| NPI | 1689057614 |
|---|---|
| Former Legal Business Name | GENTLE DENTAL PROFESSIONAL |
| Entity Type | Organization |
| Authorized Contact | MAN MINH VO General Partner 951-688-4772 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: CA 47009) |
| Additional Taxonomies | 122300000X Dentist (Licence: CA 46227) |
| Enumeration Date | 2015-07-08 |
| Last Update Date | 2015-07-08 |