NPI | 1295101640 |
---|---|
Entity Type | Organization |
Authorized Contact | VIVIAN MONIQUE VALDEZ Dentist 909-591-9211 |
Organization Subpart ? | No |
Primary Taxonomy | 122300000X Dentist (Licence: CA 61102) |
Additional Taxonomies | 122300000X Dentist (Licence: CA 61143) |
Enumeration Date | 2015-08-19 |
Last Update Date | 2015-08-19 |