| NPI | 1962136556 |
|---|---|
| Doing Business As | ROSEVILLE MODERN DENTISTRY DENTAL GROUP |
| Entity Type | Organization |
| Authorized Contact | SIMRAN KAUR Owner 916-883-3976 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2022-07-11 |
| Last Update Date | 2022-07-11 |