NPI | 1700339397 |
---|---|
Doing Business As | C & L DENTAL |
Entity Type | Organization |
Authorized Contact | ANDREW ROBERT CHAPOKAS General Partner 619-297-2949 |
Organization Subpart ? | No |
Primary Taxonomy | 1223P0300X Dentist, Periodontics (Licence: CA 58890) |
Additional Taxonomies | 122300000X Dentist (Licence: CA 29814) |
122300000X Dentist (Licence: CA 59349) | |
Enumeration Date | 2016-07-29 |
Last Update Date | 2016-07-29 |