| NPI | 1275911505 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MOHSEN ROBIN ABARI CEO 909-599-4000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist Orthodontics and Dentofacial Orthopedics |
| Additional Taxonomies | 1223S0112X Dentist Oral and Maxillofacial Surgery |
| Enumeration Date | 2015-05-06 |
| Last Update Date | 2015-05-06 |