NPI | 1881894327 |
---|---|
Doing Business As | FORUM DENTAL GROUP |
Entity Type | Organization |
Authorized Contact | PRAGNESH J DHOLAKIYA Partner 310-674-7590 |
Organization Subpart ? | Yes |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 27982) |
Enumeration Date | 2007-07-23 |
Last Update Date | 2007-07-23 |