NPI | 1548417462 |
---|---|
Entity Type | Organization |
Authorized Contact | ROMARICO N GALVAN President 909-465-1016 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 33140) |
Enumeration Date | 2008-08-21 |
Last Update Date | 2008-08-21 |