| NPI | 1801511357 |
|---|---|
| Doing Business As | LAGUNA WEST DENTAL CARE |
| Entity Type | Organization |
| Authorized Contact | DEVAN DALLA President 646-427-6519 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2022-10-06 |
| Last Update Date | 2022-10-06 |