| NPI | 1992064364 |
|---|---|
| Doing Business As | INNOVATION DENTAL |
| Entity Type | Organization |
| Authorized Contact | QUAN VO ANH NGUYEN CEO/ Managing Dentist 209-478-9648 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 46658) |
| Enumeration Date | 2012-05-04 |
| Last Update Date | 2012-05-04 |