NPI | 1134253339 |
---|---|
Entity Type | Organization |
Authorized Contact | RODNEY DALE NEAL Vice President 909-558-4543 |
Organization Subpart ? | No |
Primary Taxonomy | 1223X0008X Dentist, Oral and Maxillofacial Radiology (Licence: CA 2055) |
Enumeration Date | 2007-03-16 |
Last Update Date | 2020-03-18 |