| NPI | 1710351739 |
|---|---|
| Doing Business As | EAST VILLAGE DENTAL GROUP |
| Entity Type | Organization |
| Authorized Contact | MINH B PHAM Owner 619-324-4981 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist |
| Enumeration Date | 2015-11-16 |
| Last Update Date | 2015-11-16 |