NPI | 1932779618 |
---|---|
Doing Business As | LOVELY DENTAL |
Entity Type | Organization |
Authorized Contact | ANTHONY FREDERICK CONCEPCION Owner 909-931-9510 |
Organization Subpart ? | No |
Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
Enumeration Date | 2021-06-25 |
Last Update Date | 2021-06-25 |