| NPI | 1487391686 |
|---|---|
| Other Name | FRIENDLY DENTAL CENTER |
| Entity Type | Organization |
| Authorized Contact | JERRY HERNANDEZ Dentis 951-894-7769 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2022-05-18 |
| Last Update Date | 2022-05-18 |