NPI | 1982469813 |
---|---|
Doing Business As | CHILDREN'S DENTAL PLACE |
Entity Type | Organization |
Authorized Contact | SUONG LE Owner 510-565-4054 |
Organization Subpart ? | No |
Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
Enumeration Date | 2024-02-20 |
Last Update Date | 2024-03-04 |