NPI | 1972679124 |
---|---|
Doing Business As | NEW CENTURY DENTAL GROUP |
Entity Type | Organization |
Authorized Contact | MARK TREYSTMAN Owner 323-653-5484 |
Organization Subpart ? | No |
Primary Taxonomy | 122300000X Dentist (Licence: CA 45416) |
Enumeration Date | 2006-11-28 |
Last Update Date | 2013-10-25 |