NPI | 1972295921 |
---|---|
Doing Business As | WANDERMERE FAMILY DENTISTRY |
Entity Type | Organization |
Authorized Contact | JOEL MORRIS CEO 951-526-7255 |
Organization Subpart ? | No |
Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
Enumeration Date | 2023-05-25 |
Last Update Date | 2023-05-25 |