NPI | 1700911922 |
---|---|
Doing Business As | HERITAGE DENTAL GROUP |
Entity Type | Organization |
Authorized Contact | KUNJAL PATEL Owner Dentist 909-899-8040 |
Organization Subpart ? | No |
Primary Taxonomy | 122300000X Dentist (Licence: CA B34037) |
Enumeration Date | 2007-02-21 |
Last Update Date | 2020-08-22 |