NPI | 1720796055 |
---|---|
Former Legal Business Name | VILMA SAMS DDS |
Entity Type | Organization |
Authorized Contact | OMAR ABDEL-RAHIM Owner Dentist 805-574-0044 |
Organization Subpart ? | No |
Primary Taxonomy | 122300000X Dentist |
Enumeration Date | 2022-11-07 |
Last Update Date | 2022-11-07 |