NPI | 1912052978 |
---|---|
Doing Business As | SIGNATURE DENTAL GROUP |
Entity Type | Organization |
Authorized Contact | JASON S LEE CEO 909-910-8282 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice |
Enumeration Date | 2007-01-23 |
Last Update Date | 2008-12-28 |