NPI | 1922330554 |
---|---|
Doing Business As | WEST COAST COSMETIC DENTISTRY |
Entity Type | Organization |
Authorized Contact | NORMA VAZQUEZ President 951-352-0500 |
Organization Subpart ? | No |
Primary Taxonomy | 122300000X Dentist (Licence: CA 54688) |
Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: CA 54688) |
Enumeration Date | 2010-02-08 |
Last Update Date | 2010-02-08 |