NPI | 1750402889 |
---|---|
Doing Business As | PARAISO FAMILY DENTAL AND ORTHODONTICS |
Entity Type | Organization |
Authorized Contact | GARY DUANE CHAFFEE President 805-480-0033 |
Organization Subpart ? | No |
Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: CA 25371) |
Enumeration Date | 2007-04-03 |
Last Update Date | 2012-05-24 |