| NPI | 1851065627 |
|---|---|
| Doing Business As | DENTISTS OF CAMPUS COMMONS |
| Entity Type | Organization |
| Authorized Contact | NATHAN TULLY Owner 916-432-2842 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2021-08-05 |
| Last Update Date | 2021-08-05 |