NPI | 1699264473 |
---|---|
Doing Business As | HEMET MODERN DENTISTRY DENTAL GROUP |
Entity Type | Organization |
Authorized Contact | MANERVA HART Owner 951-404-5307 |
Organization Subpart ? | No |
Primary Taxonomy | 122300000X Dentist |
Enumeration Date | 2018-05-07 |
Last Update Date | 2022-02-04 |