| NPI | 1730598673 |
|---|---|
| Doing Business As | ULTRA DENTAL GROUP |
| Entity Type | Organization |
| Authorized Contact | YAN YAMPOLSKY President 310-523-9009 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 61846) |
| Enumeration Date | 2014-08-05 |
| Last Update Date | 2014-08-05 |