| NPI | 1790126621 |
|---|---|
| Doing Business As | COMMUNITY DENTAL CARE |
| Entity Type | Organization |
| Authorized Contact | KENNETH MARK BERRIN Dentist 858-486-2224 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment (Licence: CA 29775) |
| Enumeration Date | 2013-07-08 |
| Last Update Date | 2013-07-08 |