NPI | 1790232205 |
---|---|
Doing Business As | SURF CITY FAMILY DENTISTRY |
Entity Type | Organization |
Authorized Contact | REBECCA SUSAN AHLERS Owner Dentist/President 714-602-6327 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 34569) |
Additional Taxonomies | 261QD0000X Clinic/Center, Dental |
Enumeration Date | 2016-09-01 |
Last Update Date | 2020-12-14 |