| NPI | 1518326602 |
|---|---|
| Former Legal Business Name | ST. PATRICK DENTAL CLINIC |
| Entity Type | Organization |
| Authorized Contact | SERAFIN LABAO BERNARDO President/Owner/Dentist 909-422-0885 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 37788) |
| Additional Taxonomies | 122300000X Dentist (Licence: CA 37788) |
| Enumeration Date | 2016-02-17 |
| Last Update Date | 2018-01-25 |