| NPI | 1467867580 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEVIN LEE ANDERSON Dentist Anesthesiologist 909-496-1718 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: CA 46353) |
| Enumeration Date | 2014-06-26 |
| Last Update Date | 2014-06-26 |