NPI | 1962804195 |
---|---|
Doing Business As | VILLAGE DENTAL CENTER |
Entity Type | Organization |
Authorized Contact | JENNIFER C LEE Secretary 562-945-1684 |
Organization Subpart ? | No |
Primary Taxonomy | 122300000X Dentist (Licence: CA 51963) |
Enumeration Date | 2014-09-18 |
Last Update Date | 2014-09-18 |