NPI | 1154167849 |
---|---|
Doing Business As | SAN BERNARDINO DENTAL STUDIO |
Entity Type | Organization |
Authorized Contact | JOSE LUIS LOPEZ BENDEZU Dentist 909-713-2041 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice |
Enumeration Date | 2024-07-02 |
Last Update Date | 2024-07-08 |