NPI | 1689296105 |
---|---|
Doing Business As | CALSTATE DENTAL |
Doing Business As | CALSTATE DENTAL INC |
Entity Type | Organization |
Authorized Contact | SIMON WONG President 626-354-9667 |
Organization Subpart ? | No |
Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
Enumeration Date | 2020-05-07 |
Last Update Date | 2021-05-12 |