| NPI | 1235489303 |
|---|---|
| Other Name | WILDOMAR DENTAL CARE |
| Entity Type | Organization |
| Authorized Contact | ZIAD MUSTAFA SEMRIEN President 951-678-4300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 54202) |
| Enumeration Date | 2012-09-14 |
| Last Update Date | 2012-09-14 |