| NPI | 1164851747 |
|---|---|
| Doing Business As | LA SIERRA FAMILY DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | CHANCHAI SANGSURASAK President 951-354-9550 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: CA 58501) |
| Enumeration Date | 2013-11-05 |
| Last Update Date | 2013-11-05 |