| NPI | 1215148150 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DENNIS L HUSTON Dentist 951-303-2803 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 22619) |
| Enumeration Date | 2007-05-24 |
| Last Update Date | 2020-08-22 |