| NPI | 1477622165 |
|---|---|
| Doing Business As | DENTAL ASSOCIATES OF COLTON AND DENTAL ASSOCIATES OF POMONA |
| Entity Type | Organization |
| Authorized Contact | MAVERN S SUPRONO President 909-783-9099 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist |
| Enumeration Date | 2006-11-07 |
| Last Update Date | 2020-08-22 |