| NPI | 1699400465 |
|---|---|
| Doing Business As | DIVINE DENTAL |
| Entity Type | Organization |
| Authorized Contact | DHRUVKUMAR JITENDRA PATEL President 714-404-5978 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Additional Taxonomies | 122300000X Dentist |
| 261QD0000X Clinic/Center, Dental | |
| Enumeration Date | 2022-07-18 |
| Last Update Date | 2022-09-18 |