| NPI | 1073748174 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MOHAMAD ABUL FIELAT Owner 951-688-5437 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: CA D43302) |
| Enumeration Date | 2009-05-19 |
| Last Update Date | 2021-06-15 |