| NPI | 1225426778 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MAHER AL-BOUZ Owner/President 909-599-2029 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 46013) |
| Enumeration Date | 2015-01-07 |
| Last Update Date | 2018-02-20 |