| NPI | 1033986914 |
|---|---|
| Doing Business As | UPLAND MODERN DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | ANDREW K MIKHAIL Owner 909-657-1089 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2023-12-11 |
| Last Update Date | 2023-12-11 |