NPI | 1114012259 |
---|---|
Entity Type | Organization |
Authorized Contact | DANIEL GEORGE GARDINER President 909-946-6170 |
Organization Subpart ? | No |
Primary Taxonomy | 1223P0300X Dentist, Periodontics (Licence: CA 29716) |
Enumeration Date | 2006-10-04 |
Last Update Date | 2013-07-31 |