| NPI | 1255839668 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HARSH KALYANI CEO 951-892-9194 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: CA 64010) |
| Additional Taxonomies | 1223G0001X Dentist General Practice (Licence: CA 61744) |
| Enumeration Date | 2018-01-31 |
| Last Update Date | 2018-02-20 |