NPI | 1962672063 |
---|---|
Doing Business As | SAN GABRIEL VALLEY FAMILY DENTAL GROUP |
Entity Type | Organization |
Authorized Contact | JOSEPH R. ROSENBERG Doctor 626-286-2156 |
Organization Subpart ? | Yes |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 25621) |
Enumeration Date | 2008-03-04 |
Last Update Date | 2008-03-04 |