| NPI | 1245322007 |
|---|---|
| Doing Business As | MAIN STREET DENTAL GROUP |
| Entity Type | Organization |
| Authorized Contact | CHARLES F RODGERS Owner Dds 951-898-9700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice |
| Enumeration Date | 2006-09-29 |
| Last Update Date | 2020-08-22 |