| NPI | 1730485541 |
|---|---|
| Doing Business As | VALLEY VILLAGE DENTAL |
| Entity Type | Organization |
| Authorized Contact | JAMES GROSLEIB Owner 818-763-8999 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: CA 55832) |
| Additional Taxonomies | 122300000X Dentist (Licence: CA 55833) |
| Enumeration Date | 2011-01-27 |
| Last Update Date | 2011-01-27 |