| 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 |