NPI | 1831395813 |
---|---|
Doing Business As | VILLAGE DENTAL GROUP |
Entity Type | Organization |
Authorized Contact | LANCE C RYGG Owner 619-739-4936 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice |
Enumeration Date | 2007-06-26 |
Last Update Date | 2009-09-04 |