| NPI | 1245448679 |
|---|---|
| Doing Business As | MORENO VALLEY DETNAL |
| Entity Type | Organization |
| Authorized Contact | DENNIS R FRATT Owner 714-428-1200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2007-05-18 |
| Last Update Date | 2009-12-21 |