NPI | 1790991974 |
---|---|
Doing Business As | C I DENTAL OFFICE |
Entity Type | Organization |
Authorized Contact | CHRISTI ANA ILIUTA Owner 559-625-2040 |
Organization Subpart ? | No |
Primary Taxonomy | 122300000X Dentist (Licence: CA G9205501) |
Additional Taxonomies | 122300000X Dentist (Licence: CA D41621) |
Enumeration Date | 2007-05-15 |
Last Update Date | 2020-08-22 |