| NPI | 1801213442 |
|---|---|
| Doing Business As | GALT DENTAL GROUP |
| Entity Type | Organization |
| Authorized Contact | DAVID S PARK Owner 209-744-0463 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: CA 53724) |
| Enumeration Date | 2014-03-20 |
| Last Update Date | 2014-03-20 |