| NPI | 1285106716 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HAITHAM AL-SALMAN Owner 909-471-3670 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist |
| Additional Taxonomies | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2018-12-21 |
| Last Update Date | 2022-10-28 |