| NPI | 1942466131 |
|---|---|
| Doing Business As | COVINA SURGERY CENTER DENTAL GROUP |
| Entity Type | Organization |
| Authorized Contact | JOHN KHALAF President 323-982-0004 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2008-08-06 |
| Last Update Date | 2008-08-06 |