| NPI | 1043957764 |
|---|---|
| Other Name | FRIENDLY DENTAL CENTER |
| Entity Type | Organization |
| Authorized Contact | JERRY HERNANDEZ Dentis 951-676-8920 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2022-05-14 |
| Last Update Date | 2022-05-14 |