| 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 |