NPI | 1730672296 |
---|---|
Doing Business As | LOS ALAMITOS PERIODONTICS & DENTAL IMPLANTS |
Entity Type | Organization |
Authorized Contact | JEFFREY J MCCULLOUGH Owner 717-877-8268 |
Organization Subpart ? | No |
Primary Taxonomy | 1223P0300X Dentist, Periodontics (Licence: CA 62289) |
Enumeration Date | 2018-06-10 |
Last Update Date | 2018-06-10 |