| NPI | 1548708423 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | COLLEEN C PASIUK Office Manager 909-383-8931 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223E0200X Dentist, Endodontics (Licence: CA 32790) |
| Enumeration Date | 2017-02-10 |
| Last Update Date | 2017-02-10 |