NPI | 1740744184 |
---|---|
Doing Business As | WOW DENTAL WEST COVINA |
Doing Business As | SA DENTAL |
Entity Type | Organization |
Authorized Contact | CHUN PIU MAN CEO 951-505-8862 |
Organization Subpart ? | No |
Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
Enumeration Date | 2019-01-30 |
Last Update Date | 2022-04-20 |