| NPI | 1013063189 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFFREY B THOMAS Owner 909-622-1261 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 038929) |
| Enumeration Date | 2007-01-25 |
| Last Update Date | 2007-08-15 |