| NPI | 1851090708 |
|---|---|
| Doing Business As | CLOVIS COUNTRY DENTAL |
| Entity Type | Organization |
| Authorized Contact | SHELJA BHATIA CEO 415-866-8852 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2023-03-01 |
| Last Update Date | 2023-03-01 |