| NPI | 1265750533 |
|---|---|
| Doing Business As | WESTERN UNIVERSITY DENTAL CENTER |
| Entity Type | Organization |
| Authorized Contact | TRENA L RICH Compliance And Quality Manager 909-706-3871 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2010-05-12 |
| Last Update Date | 2018-05-02 |