NPI | 1205263191 |
---|---|
Doing Business As | HORIZONS DENTAL PRACTICE |
Entity Type | Organization |
Authorized Contact | AZZA JANDALI Dentist 909-987-9933 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 46833) |
Enumeration Date | 2013-10-09 |
Last Update Date | 2013-12-31 |