NPI | 1730949108 |
---|---|
Doing Business As | SURPRISE DENTAL CARE |
Entity Type | Organization |
Authorized Contact | JENNY VIRGINIA WANG Owner 623-583-8895 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice |
Enumeration Date | 2024-03-21 |
Last Update Date | 2024-03-21 |