| NPI | 1114441193 |
|---|---|
| Doing Business As | EASTVALE SMILES DENTISTRY DENTAL GROUP |
| Entity Type | Organization |
| Authorized Contact | AMY Y CHAU Owner 951-228-9294 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist |
| Enumeration Date | 2017-08-01 |
| Last Update Date | 2022-03-08 |