NPI | 1548630940 |
---|---|
Doing Business As | ONTARIO VILLAGE DENTAL |
Entity Type | Organization |
Authorized Contact | NED PANIAGUA Dentist/Owner 909-988-1992 |
Organization Subpart ? | No |
Primary Taxonomy | 1223D0001X Dentist, Dental Public Health (Licence: CA 49968) |
Enumeration Date | 2015-09-29 |
Last Update Date | 2015-09-29 |