| NPI | 1548686629 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JESSICA URBINA Office Manager 909-989-5598 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 43358) |
| Enumeration Date | 2014-03-12 |
| Last Update Date | 2014-03-12 |