| NPI | 1558410019 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HAREESH VEERABHADRAIAH President 951-487-2455 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: CA 33041) |
| Enumeration Date | 2007-01-10 |
| Last Update Date | 2021-04-18 |