NPI | 1881248417 |
---|---|
Doing Business As | MG REYES DENTAL CORPORATION |
Entity Type | Organization |
Authorized Contact | MARTIN G REYES Owner 626-962-8160 |
Organization Subpart ? | Yes |
Primary Taxonomy | 1223G0001X Dentist, General Practice |
Enumeration Date | 2019-07-31 |
Last Update Date | 2019-12-09 |