| NPI | 1558489047 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JILL L. WARREN Office Manager 951-652-2744 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 41010) |
| Enumeration Date | 2007-03-26 |
| Last Update Date | 2020-08-22 |