| NPI | 1407171374 |
|---|---|
| Doing Business As | ANTHEM DENTAL |
| Entity Type | Organization |
| Authorized Contact | HENRY ABRAHAM Owner Dentist 951-204-7325 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 54287) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: CA 44107) |
| Enumeration Date | 2010-04-02 |
| Last Update Date | 2014-05-19 |