| NPI | 1932850930 |
|---|---|
| Doing Business As | LA CANTERA DENTAL GROUP |
| Entity Type | Organization |
| Authorized Contact | VIVIAN NGUYEN Operations Manager 210-877-0000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2022-01-12 |
| Last Update Date | 2022-01-12 |