| NPI | 1134358815 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VERLON WAYNE STRAUSS Vice Chancelor, Financial Affairs 909-558-4611 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: CA 7547) |
| Enumeration Date | 2009-07-02 |
| Last Update Date | 2010-11-10 |