NPI | 1831554989 |
---|---|
Doing Business As | NEW AGE DENTISTRY, LLC |
Entity Type | Organization |
Authorized Contact | KAPIL GREWAL Managing Dentist 415-490-7704 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: NM DD4182) |
Enumeration Date | 2015-12-16 |
Last Update Date | 2016-04-04 |