NPI | 1891972287 |
---|---|
Doing Business As | MILE SQUARE DENTISTRY |
Entity Type | Organization |
Authorized Contact | JENNI HA NGUYEN Co Owner 714-839-7660 |
Organization Subpart ? | No |
Primary Taxonomy | 122300000X Dentist (Licence: CA 40287) |
Enumeration Date | 2008-01-28 |
Last Update Date | 2008-01-28 |