| NPI | 1578271821 |
|---|---|
| Doing Business As | PAULA VAN HORN DMD |
| Entity Type | Organization |
| Authorized Contact | MARENA MICHAEL President 909-660-9684 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2022-11-07 |
| Last Update Date | 2022-11-07 |