NPI | 1376600510 |
---|---|
Entity Type | Organization |
Authorized Contact | JAMES M. SUMILAT President 909-864-7200 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 38785) |
Enumeration Date | 2007-01-03 |
Last Update Date | 2020-08-22 |