| NPI | 1154336501 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DONALD L. CRAM CEO President 951-788-7701 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: CA 19417) |
| Enumeration Date | 2006-07-31 |
| Last Update Date | 2020-08-22 |