| NPI | 1265692362 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VERLON W. STRAUSS Vice Chancellor 909-558-4543 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: CA 2052) |
| Enumeration Date | 2008-06-11 |
| Last Update Date | 2008-06-11 |