NPI | 1760114268 |
---|---|
Doing Business As | MY DENTAL OFFICE OF BEVERLY HILLS |
Entity Type | Organization |
Authorized Contact | VICENTA REYES Credentialing Lead 972-869-3789 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice |
Enumeration Date | 2022-06-24 |
Last Update Date | 2022-06-24 |