| NPI | 1275802894 |
|---|---|
| Doing Business As | PARKRIDGE DENTAL SPA |
| Entity Type | Organization |
| Authorized Contact | CORACEL T JOHNSON Principal Partner 951-735-0200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 45536) |
| Enumeration Date | 2011-12-28 |
| Last Update Date | 2011-12-28 |