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 |