| NPI | 1467630517 |
|---|---|
| Doing Business As | FAIRFIELD RANCH DENTAL |
| Entity Type | Organization |
| Authorized Contact | NHATTU NGO Owner 909-606-0303 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: CA 42860) |
| Enumeration Date | 2008-01-31 |
| Last Update Date | 2008-01-31 |