| NPI | 1821262007 |
|---|---|
| Former Legal Business Name | GOOD NAME SCOTT DENTAL CORPORATION |
| Entity Type | Organization |
| Authorized Contact | DAVID W SCOTT Owner 916-797-0868 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: CA 31150) |
| Enumeration Date | 2008-04-17 |
| Last Update Date | 2008-07-03 |