NPI | 1902921554 |
---|---|
Doing Business As | DENTAL CARE ON PREMISES |
Entity Type | Organization |
Authorized Contact | ALEX GLADKOV President And CEO 800-373-5400 |
Organization Subpart ? | No |
Primary Taxonomy | 122300000X Dentist (Licence: CA 40822) |
Enumeration Date | 2007-03-20 |
Last Update Date | 2020-08-22 |