NPI | 1760987168 |
---|---|
Doing Business As | THE ROOT CANAL DOCTOR |
Entity Type | Organization |
Authorized Contact | JOSE ENRIQUE AREVALO Owner 951-250-5812 |
Organization Subpart ? | No |
Primary Taxonomy | 1223E0200X Dentist, Endodontics |
Additional Taxonomies | 261QD0000X Clinic/Center, Dental |
Enumeration Date | 2018-03-27 |
Last Update Date | 2022-10-28 |