| NPI | 1043443559 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JUGAL K GUPTA Dentist / Owner 909-356-9752 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 36370) |
| Enumeration Date | 2009-08-31 |
| Last Update Date | 2009-08-31 |