| NPI | 1982090213 | 
|---|---|
| Doing Business As | CENTURY GROVE DENTAL CARE | 
| Entity Type | Organization | 
| Authorized Contact | NA DO Office Manager 714-534-7020  | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 46265)  | 
| Enumeration Date | 2015-04-14 | 
| Last Update Date | 2021-08-23 |