| NPI | 1578758967 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MUENI LORRAINE MUTINGA CEO 909-810-9930 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 48518) |
| Enumeration Date | 2007-09-10 |
| Last Update Date | 2007-09-10 |