NPI | 1821585803 |
---|---|
Doing Business As | SOUTH GATE FAMILY DENTISTRY |
Entity Type | Organization |
Authorized Contact | BEHNOUD REYHANI Owner 562-925-3735 |
Organization Subpart ? | No |
Primary Taxonomy | 261QD0000X Clinic/Center Dental |
Enumeration Date | 2018-04-16 |
Last Update Date | 2020-04-07 |