| 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 |