| NPI | 1790358125 |
|---|---|
| Doing Business As | GRANDEUR DENTAL DENTAL OFFICE OF JINKY SACAGUING |
| Doing Business As | GRANDEUR DENTAL |
| Entity Type | Organization |
| Authorized Contact | JINKY ENCARNACION SACAGUING CEO 818-488-9533 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2021-07-22 |
| Last Update Date | 2021-10-15 |