| NPI | 1134610454 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MOHAMMAD FIELAT Dentist 951-688-5437 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist Pediatric Dentistry (Licence: CA 43302) |
| Enumeration Date | 2018-05-22 |
| Last Update Date | 2018-09-20 |