| NPI | 1548639768 |
|---|---|
| Doing Business As | OVERLAND DENTAL PRACTICE |
| Entity Type | Organization |
| Authorized Contact | IVONNE VAZQUEZ Dentist 951-695-8711 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: CA 50392) |
| Enumeration Date | 2015-09-17 |
| Last Update Date | 2015-09-17 |