| NPI | 1437810967 |
|---|---|
| Doing Business As | UPLAND PROSTHODONTICS |
| Entity Type | Organization |
| Authorized Contact | BRIAN GOODACRE Vice President 909-315-6235 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0700X Dentist, Prosthodontics |
| Enumeration Date | 2022-01-06 |
| Last Update Date | 2022-01-06 |