| NPI | 1134504798 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HANY IBRAHIM GHALY President / Owner 909-825-7123 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 38000) |
| Enumeration Date | 2015-07-24 |
| Last Update Date | 2015-07-24 |