| 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 |