| NPI | 1306025762 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELMER C TOLENTINO Secretary 951-735-7300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: CA 51913) |
| Enumeration Date | 2007-11-01 |
| Last Update Date | 2020-06-13 |