NPI | 1922139641 |
---|---|
Doing Business As | LANDMARK FAMILY DENTAL |
Entity Type | Organization |
Authorized Contact | KOSHA SHAH President 805-815-4356 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice |
Enumeration Date | 2007-03-07 |
Last Update Date | 2020-08-22 |