NPI | 1689795718 |
---|---|
Doing Business As | ALLSTAR FAMILY DENTISTRY |
Entity Type | Organization |
Authorized Contact | SOE LWIN WYNN President 209-238-9444 |
Organization Subpart ? | No |
Primary Taxonomy | 122300000X Dentist (Licence: CA 45058) |
Enumeration Date | 2007-04-03 |
Last Update Date | 2008-06-11 |