NPI | 1902455694 |
---|---|
Doing Business As | HOSPITALITY DENTAL & ORTHODONTICS |
Entity Type | Organization |
Authorized Contact | JOSUE MORAN Credentialing Specialist 909-723-1044 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice |
Additional Taxonomies | 1223S0112X Dentist, Oral and Maxillofacial Surgery |
Enumeration Date | 2019-09-05 |
Last Update Date | 2021-09-22 |