| NPI | 1104023647 |
|---|---|
| Doing Business As | POMONA VALLEY DENTAL PRACTICE |
| Entity Type | Organization |
| Authorized Contact | ANTHONY DUNG NGUYEN President 909-623-1564 |
| Organization Subpart ? | No |
| Primary Taxonomy | 305R00000X Preferred Provider Organization (Licence: CA 47971) |
| Enumeration Date | 2007-06-28 |
| Last Update Date | 2007-11-13 |