| NPI | 1912775487 |
|---|---|
| Doing Business As | ESSENTIAL DENTAL |
| Entity Type | Organization |
| Authorized Contact | LISA LAM CEO 707-979-3068 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2023-12-14 |
| Last Update Date | 2023-12-14 |