NPI | 1356828693 |
---|---|
Entity Type | Organization |
Authorized Contact | INGRID DIAZ Rece PT Ion 909-689-7499 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 49674) |
Enumeration Date | 2018-07-19 |
Last Update Date | 2018-07-19 |