| NPI | 1508011123 |
|---|---|
| Other Name | FONTANA DENTAL CARE |
| Entity Type | Organization |
| Authorized Contact | ALEXANDRA AYOUB President 909-829-9324 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: CA 50564) |
| Enumeration Date | 2008-11-24 |
| Last Update Date | 2008-11-24 |