NPI | 1285889576 |
---|---|
Entity Type | Organization |
Authorized Contact | LUIS RUBEN CAMBERO President 909-350-2583 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 49480) |
Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: CA 42374) |
Enumeration Date | 2008-12-01 |
Last Update Date | 2008-12-01 |