| NPI | 1528190881 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VIRGIL BENJAMIN Dentist 951-302-8515 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 50729) |
| Enumeration Date | 2007-03-12 |
| Last Update Date | 2020-08-22 |