NPI | 1801003645 |
---|---|
Doing Business As | INNOVATIVE DENTAL CONCEPTS |
Entity Type | Organization |
Authorized Contact | PARAG R KACHALIA CEO President 925-362-8209 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 48926) |
Enumeration Date | 2007-05-17 |
Last Update Date | 2020-03-11 |