| NPI | 1023136496 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VICTORIA SALINAS Office Manager 909-393-7500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: CA 35858) |
| Enumeration Date | 2007-03-26 |
| Last Update Date | 2020-08-22 |