| NPI | 1265785968 |
|---|---|
| Other Name | WESTERN UNIVERSITY DENTAL CENTER OUTREACH |
| Entity Type | Organization |
| Authorized Contact | STEVEN WILLIAM FRIEDRICHSEN Dean 909-706-3504 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2012-10-18 |
| Last Update Date | 2012-10-18 |