NPI | 1790854131 |
---|---|
Doing Business As | STANDIFORD FAMILY DENTAL GROUP |
Entity Type | Organization |
Authorized Contact | PHACH NGOC NGUYEN Office Manager 209-574-9600 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 45725) |
Enumeration Date | 2006-11-08 |
Last Update Date | 2018-05-10 |