| NPI | 1013034446 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHANIE FENGLER Financial Coordinator 951-736-7846 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: CA 032867) |
| Enumeration Date | 2007-03-22 |
| Last Update Date | 2007-12-27 |