| NPI | 1124840467 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATRICIA ANN POMPA Owner 909-874-3210 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Additional Taxonomies | 1223S0112X Dentist, Oral and Maxillofacial Surgery |
| Enumeration Date | 2024-10-28 |
| Last Update Date | 2024-10-28 |