| NPI | 1376152165 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHAMANDEEP BRAR President 909-304-0582 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223D0004X Dentist, Dentist Anesthesiologist Speciality |
| Enumeration Date | 2020-07-28 |
| Last Update Date | 2023-09-06 |