NPI | 1790529287 |
---|---|
Former Legal Business Name | FAMILY AND COSMETIC DENTISTRY |
Entity Type | Organization |
Authorized Contact | RANDA NASR General Dentist 909-831-2072 |
Organization Subpart ? | No |
Primary Taxonomy | 122300000X Dentist |
Enumeration Date | 2024-06-20 |
Last Update Date | 2024-06-20 |