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 |