| NPI | 1811326226 |
|---|---|
| Doing Business As | MOUNTAINSIDE FAMILY DENTAL |
| Entity Type | Organization |
| Authorized Contact | ROSA LESSO National Director Of Rcm 714-571-3471 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2013-11-06 |
| Last Update Date | 2024-04-04 |