NPI | 1912571027 |
---|---|
Doing Business As | A STREET DENTAL |
Entity Type | Organization |
Authorized Contact | BLAKE K ANDERSON Doctor/Owner 916-765-7036 |
Organization Subpart ? | No |
Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
Enumeration Date | 2021-05-14 |
Last Update Date | 2021-05-14 |