| NPI | 1285899443 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | UBLESTER GOMEZ President/Owner 909-865-8500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 46064) |
| Enumeration Date | 2008-07-26 |
| Last Update Date | 2008-07-26 |