| NPI | 1285821280 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RODNEY DALE NEAL Sr. Vice President 909-558-4543 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: CA 2056) |
| Enumeration Date | 2007-10-03 |
| Last Update Date | 2020-03-18 |