| NPI | 1346581709 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WASSEEM ALPHONSE SAMAAN Owner/Dentist 909-860-3111 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 29658) |
| Enumeration Date | 2013-03-11 |
| Last Update Date | 2013-03-11 |