| NPI | 1790283935 |
|---|---|
| Doing Business As | MISSION RIDGE FAMILY DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | CHAITANYA BANDARUPALLI CEO 408-332-4273 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: CA DDS61623) |
| Enumeration Date | 2018-01-23 |
| Last Update Date | 2018-06-16 |