NPI | 1760861595 |
---|---|
Doing Business As | LAGUNA DENTAL |
Entity Type | Organization |
Authorized Contact | SAMUEL REE General Dentist/ Owner 650-644-9922 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: TX 28685) |
Enumeration Date | 2015-05-26 |
Last Update Date | 2015-05-26 |