| NPI | 1285183194 |
|---|---|
| Doing Business As | CHINO SPECTRUM DENTAL |
| Entity Type | Organization |
| Authorized Contact | FENNY VIRGIN President 909-627-9996 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2016-10-04 |
| Last Update Date | 2016-10-04 |