| NPI | 1043667546 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID G BECK President 909-946-3836 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 40916) |
| Enumeration Date | 2016-05-16 |
| Last Update Date | 2016-05-16 |