| NPI | 1881572949 |
|---|---|
| Doing Business As | COMMUNITY DENTAL GROUP |
| Entity Type | Organization |
| Authorized Contact | CHRISTIAN LOPEZ CORNEJO Owner 559-824-8505 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2025-08-26 |
| Last Update Date | 2025-08-26 |