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 |