| NPI | 1164066627 |
|---|---|
| Doing Business As | LAGUNA PAVILION DENTAL |
| Entity Type | Organization |
| Authorized Contact | OMAR SATTOUT Dr 909-248-8417 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2019-10-29 |
| Last Update Date | 2019-10-29 |