NPI | 1891889291 |
---|---|
Doing Business As | ATLANTIC SQUARE DENTAL |
Entity Type | Organization |
Authorized Contact | GORETTI LI Dentist 323-888-0681 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 40960) |
Enumeration Date | 2006-10-03 |
Last Update Date | 2020-08-22 |