| NPI | 1295244028 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MAHER K AWWAD C.E.O. / Dentist 951-315-7033 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: CA 46741) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: CA 46741) |
| Enumeration Date | 2017-09-25 |
| Last Update Date | 2022-07-21 |