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 |