NPI | 1902921349 |
---|---|
Doing Business As | GOLDEN WEST DENTISTRY |
Entity Type | Organization |
Authorized Contact | VICTOR R CAMONES President 909-822-4800 |
Organization Subpart ? | No |
Primary Taxonomy | 122300000X Dentist (Licence: CA 43325) |
Enumeration Date | 2007-03-21 |
Last Update Date | 2020-08-22 |