| NPI | 1306348768 |
|---|---|
| Doing Business As | WEST COAST DENTAL GROUP OF RANCHO CUCAMONGA |
| Entity Type | Organization |
| Authorized Contact | MIGUEL REYES Q/A Contract & Compliance Manager 310-820-9933 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: CA 39862) |
| Enumeration Date | 2018-03-01 |
| Last Update Date | 2020-07-30 |