| NPI | 1154413912 |
|---|---|
| Doing Business As | MAIN STREET DENTAL GROUP |
| Entity Type | Organization |
| Authorized Contact | CHARLES F RODGERS Owner Dds 951-898-9700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2006-09-29 |
| Last Update Date | 2009-06-03 |