| NPI | 1750722930 |
|---|---|
| Doing Business As | HEMET WEST DENTAL OFFICE |
| Entity Type | Organization |
| Authorized Contact | KIRK J PETERSEN President 951-652-4464 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment (Licence: CA 35534) |
| Enumeration Date | 2013-07-16 |
| Last Update Date | 2013-07-16 |