NPI | 1831503689 |
---|---|
Doing Business As | EMERALD DENTAL PRACTICE |
Entity Type | Organization |
Authorized Contact | GULALAI MATIN Owner 760-722-0137 |
Organization Subpart ? | Yes |
Primary Taxonomy | 122300000X Dentist (Licence: CA 43199) |
Enumeration Date | 2014-06-19 |
Last Update Date | 2014-06-19 |