| NPI | 1366688525 |
|---|---|
| Doing Business As | HIGHLAND DENTAL GROUP |
| Entity Type | Organization |
| Authorized Contact | WALTER JEFFERSON Owne Doctor 909-864-6010 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2008-12-18 |
| Last Update Date | 2008-12-18 |