| NPI | 1538420575 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMIEL RAJESH PATEL Owner, President 909-625-3865 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 42210) |
| Enumeration Date | 2012-06-06 |
| Last Update Date | 2015-04-09 |