| NPI | 1871162552 |
|---|---|
| Doing Business As | AMIGOS DENTAL CARE- CALIFORNIA CROSSING, LLC |
| Entity Type | Organization |
| Authorized Contact | BENJAMIN BOWMAN Owner/Partner 405-326-8004 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2021-06-17 |
| Last Update Date | 2022-06-17 |