NPI | 1952909582 |
---|---|
Doing Business As | CERRITOS SMILES DENTISTRY DENTAL GROUP |
Entity Type | Organization |
Authorized Contact | MICHAEL G WONG Owner 562-278-1609 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice |
Enumeration Date | 2020-10-15 |
Last Update Date | 2022-05-11 |