| NPI | 1780297358 |
|---|---|
| Former Legal Business Name | ERIC TAMSUT, DMD INC. |
| Entity Type | Organization |
| Authorized Contact | ERIC TAMSUT CEO 818-661-8338 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2020-08-24 |
| Last Update Date | 2020-08-24 |