| NPI | 1255470803 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | OSCAR ESPARZA Dentist 909-984-3618 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: CA 41648) |
| Additional Taxonomies | 122300000X Dentist (Licence: CA 45252) |
| Enumeration Date | 2007-02-06 |
| Last Update Date | 2007-07-10 |