| NPI | 1316150964 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MOHAMAD G ABUL FIELAT Owner 909-355-0385 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist Pediatric Dentistry (Licence: CA CA43302) |
| Enumeration Date | 2007-05-08 |
| Last Update Date | 2018-02-08 |