NPI | 1972026920 |
---|---|
Doing Business As | WEST COAST DENTAL GROUP OF HEMET |
Entity Type | Organization |
Authorized Contact | MIGUEL REYES Q/A Contract & Compliance Manager 310-820-9933 |
Organization Subpart ? | No |
Primary Taxonomy | 122300000X Dentist (Licence: CA 39862) |
Enumeration Date | 2017-07-21 |
Last Update Date | 2017-07-21 |