NPI | 1700065950 |
---|---|
Doing Business As | AIRPORT CENTER FAMILY DENTAL OFFICE |
Entity Type | Organization |
Authorized Contact | DANA MITCHELL Business Manager 310-215-1455 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 38223) |
Enumeration Date | 2007-10-24 |
Last Update Date | 2007-10-24 |