NPI | 1912004730 |
---|---|
Doing Business As | SIMMONS DENTAL CARE |
Entity Type | Organization |
Authorized Contact | GERALD SCOTT SIMMONS Owner 661-947-3163 |
Organization Subpart ? | No |
Primary Taxonomy | 122300000X Dentist (Licence: CA 24629) |
Additional Taxonomies | 122300000X Dentist (Licence: CA 31979) |
122300000X Dentist (Licence: CA 29916) | |
Enumeration Date | 2006-09-20 |
Last Update Date | 2015-02-26 |