NPI | 1942498746 |
---|---|
Doing Business As | CUSTOM DENTAL |
Entity Type | Organization |
Authorized Contact | BENJAMIN J. LIN Owner/Dentist 661-387-6577 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 54173) |
Enumeration Date | 2007-10-07 |
Last Update Date | 2012-02-21 |