NPI | 1902402456 |
---|---|
Doing Business As | WEST COAST DENTAL GROUP OF RIALTO |
Entity Type | Organization |
Authorized Contact | MIGUEL REYES Q/A Contract & Compliance Manager 310-409-4225 |
Organization Subpart ? | No |
Primary Taxonomy | 122300000X Dentist |
Enumeration Date | 2020-12-09 |
Last Update Date | 2020-12-09 |