NPI | 1831316140 |
---|---|
Doing Business As | WEST COAST DENTAL GROUP OF GAGE |
Entity Type | Organization |
Authorized Contact | RYAN LEE Owner 323-983-4000 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 41594) |
Enumeration Date | 2007-04-19 |
Last Update Date | 2020-08-22 |