| NPI | 1386986362 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JORGE OSORIO Partner 909-948-7213 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist |
| Additional Taxonomies | 1223E0200X Dentist, Endodontics |
| Enumeration Date | 2013-03-18 |
| Last Update Date | 2013-03-18 |