| NPI | 1275672958 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CINDY MENDOZA Office Manager 909-985-9210 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: CA 20456) |
| Enumeration Date | 2007-02-06 |
| Last Update Date | 2020-08-22 |