NPI | 1750797445 |
---|---|
Doing Business As | MELODY DENTAL CARE |
Entity Type | Organization |
Authorized Contact | JIMMY NGUYEN President/Dentist 951-276-2877 |
Organization Subpart ? | No |
Primary Taxonomy | 305R00000X Preferred Provider Organization (Licence: CA 57891) |
Additional Taxonomies | 302F00000X Exclusive Provider Organization (Licence: CA 57891) |
302R00000X Health Maintenance Organization (Licence: CA 57891) | |
305S00000X Point of Service (Licence: CA 57891) | |
Enumeration Date | 2014-07-02 |
Last Update Date | 2014-07-02 |