| NPI | 1801535067 |
|---|---|
| Doing Business As | RIDGECREST COSMETIC DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | BRIAN L DANIELSSON CEO/Dentist 760-371-4800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2022-06-03 |
| Last Update Date | 2022-06-03 |