| NPI | 1255577086 |
|---|---|
| Other Name | WATERMAN DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | KHA DANG LE Owner 909-882-7974 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 41453) |
| Enumeration Date | 2008-12-29 |
| Last Update Date | 2008-12-29 |