| NPI | 1205051000 |
|---|---|
| Doing Business As | FONTANA DENTAL GROUP |
| Entity Type | Organization |
| Authorized Contact | ANDRZEJ LUBCZUK President 909-822-2226 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 42568) |
| Enumeration Date | 2007-04-16 |
| Last Update Date | 2019-05-28 |