| NPI | 1902140924 |
|---|---|
| Doing Business As | GOVERNOR DENTAL |
| Entity Type | Organization |
| Authorized Contact | JOANNE COPPS President 858-997-7390 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: CA 57267) |
| Enumeration Date | 2012-11-15 |
| Last Update Date | 2012-11-15 |