| NPI | 1891928412 |
|---|---|
| Doing Business As | PRISM DENTAL GROUP |
| Entity Type | Organization |
| Authorized Contact | SAVITHA SIDDAPPA President 805-241-5353 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: CA 56598) |
| Enumeration Date | 2009-08-31 |
| Last Update Date | 2011-05-04 |