| NPI | 1043590060 |
|---|---|
| Doing Business As | BLUE CRYSTAL DENTAL |
| Entity Type | Organization |
| Authorized Contact | PEDRO M SANDOVAL President 909-873-9707 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: CA 49402) |
| Enumeration Date | 2011-08-22 |
| Last Update Date | 2019-04-09 |