| NPI | 1003015082 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PRAVIN K MAKADIA Owner 909-622-1817 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 52425) |
| Enumeration Date | 2007-07-11 |
| Last Update Date | 2007-07-11 |