| NPI | 1285189092 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SAMUEL YOUNG President 951-760-2481 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: CA 33695) |
| Enumeration Date | 2016-08-22 |
| Last Update Date | 2016-08-22 |