NPI | 1104143536 |
---|---|
Entity Type | Organization |
Authorized Contact | PAUL STANLEY DDS President 909-823-4400 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 25768) |
Enumeration Date | 2010-04-25 |
Last Update Date | 2010-04-25 |