| NPI | 1013453794 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DIPAKKUMAR VASOYA President 951-258-1407 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: CA 64311) |
| Enumeration Date | 2017-01-18 |
| Last Update Date | 2017-01-18 |