| NPI | 1104973197 |
|---|---|
| Doing Business As | FRIENDLY DENTAL GROUP |
| Entity Type | Organization |
| Authorized Contact | JORGE HERNANDEZ ZAMUDIO Owner Dentist 951-894-7769 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 45873) |
| Enumeration Date | 2007-01-04 |
| Last Update Date | 2020-08-22 |