NPI | 1922659143 |
---|---|
Doing Business As | SAPPHIRE CREEK DENTAL |
Entity Type | Organization |
Authorized Contact | RALSER ARCHIE GOMEZ Owner/CEO/Dentist 830-302-4181 |
Organization Subpart ? | No |
Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
Enumeration Date | 2019-09-29 |
Last Update Date | 2019-09-29 |