| NPI | 1700245974 |
|---|---|
| Doing Business As | WELLNESS DENTAL |
| Entity Type | Organization |
| Authorized Contact | TRACY H TRAN Principal 408-234-5099 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: AZ 162068) |
| Enumeration Date | 2016-02-16 |
| Last Update Date | 2022-11-04 |