NPI | 1972655165 |
---|---|
Doing Business As | BLEACH |
Entity Type | Organization |
Authorized Contact | THIMY D LE Dentist 714-799-9945 |
Organization Subpart ? | No |
Primary Taxonomy | 1223D0001X Dentist, Dental Public Health (Licence: CA 48943) |
Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: CA 48943) |
Enumeration Date | 2007-01-17 |
Last Update Date | 2015-07-07 |