NPI | 1790258556 |
---|---|
Doing Business As | WEST CORONA DENTISTRY |
Entity Type | Organization |
Authorized Contact | TUAN LY Owner/Partner 951-340-0200 |
Organization Subpart ? | Yes |
Primary Taxonomy | 122300000X Dentist |
Additional Taxonomies | 1223P0221X Dentist, Pediatric Dentistry |
Enumeration Date | 2019-01-04 |
Last Update Date | 2020-10-06 |