| NPI | 1053556746 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIA C GONZALEZ Owner/Dentist 909-770-8916 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 47081) |
| Enumeration Date | 2008-12-09 |
| Last Update Date | 2008-12-09 |