| NPI | 1457422644 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PRATIK M SHAH President 951-685-8500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 46959) |
| Enumeration Date | 2006-11-11 |
| Last Update Date | 2020-08-22 |