| NPI | 1467989426 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RONALDO OPINGA President 909-354-7680 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 57964) |
| Enumeration Date | 2017-05-20 |
| Last Update Date | 2017-07-12 |