| NPI | 1396970471 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DUDLEY MARVIN PANG CEO 909-499-1738 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 55787) |
| Enumeration Date | 2009-05-19 |
| Last Update Date | 2009-05-19 |