| NPI | 1376197954 |
|---|---|
| Former Legal Business Name | PURECO DENTAL GROUP |
| Entity Type | Organization |
| Authorized Contact | MARIO PURECO Owner/ Dentist 909-256-0090 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2019-07-31 |
| Last Update Date | 2023-01-23 |