NPI | 1982023792 |
---|---|
Doing Business As | PRO HEALTH DENTAL |
Entity Type | Organization |
Authorized Contact | ADA GRUITA President/Dentist 949-525-8238 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 49537) |
Enumeration Date | 2014-04-09 |
Last Update Date | 2014-04-09 |