NPI | 1376722595 |
---|---|
Doing Business As | MOUNTAIN DENTAL FITNESS CENTER |
Entity Type | Organization |
Authorized Contact | PRINCESITA ASUNCION BILLEDO President 909-460-7776 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 43420) |
Enumeration Date | 2007-10-25 |
Last Update Date | 2007-10-25 |