| NPI | 1487068748 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PRAKASH P PATEL President 909-964-0613 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 33352) |
| Enumeration Date | 2014-06-16 |
| Last Update Date | 2014-06-16 |