| NPI | 1982715173 |
|---|---|
| Former Legal Business Name | ADVANCE DENTAL CENTER |
| Entity Type | Organization |
| Authorized Contact | JAMES AZIZ President 562-789-8989 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: CA 39228) |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2012-05-07 |