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 |