| NPI | 1487784401 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DOUGLAS LYNN WYLER President 909-599-2369 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: CA 22189) |
| Enumeration Date | 2007-03-07 |
| Last Update Date | 2020-08-22 |