NPI | 1962223966 |
---|---|
Doing Business As | FAB DENTISTRY |
Entity Type | Organization |
Authorized Contact | TIWALADE ABIDOYE Owner 323-445-3465 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice |
Enumeration Date | 2024-10-22 |
Last Update Date | 2024-10-22 |