| NPI | 1417243486 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDREW JONATHAN DYER President 909-810-7306 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: TX 25039) |
| Enumeration Date | 2011-06-28 |
| Last Update Date | 2011-06-28 |