| NPI | 1164757811 |
|---|---|
| Doing Business As | DENTAL HEAVEN |
| Entity Type | Organization |
| Authorized Contact | ALEXANDER DURAN President 909-944-7410 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2009-10-14 |
| Last Update Date | 2009-10-14 |