NPI | 1720472764 |
---|---|
Doing Business As | SANTA CLARITA FAMILY DENTISTRY |
Entity Type | Organization |
Authorized Contact | ROBERT LIMCAOCO PENA President 661-222-7171 |
Organization Subpart ? | No |
Primary Taxonomy | 305R00000X Preferred Provider Organization (Licence: CA 37002) |
Enumeration Date | 2015-03-27 |
Last Update Date | 2015-03-27 |