| NPI | 1588860217 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RODNEY DALE NEAL Sr. Vice President 909-558-4543 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist Pediatric Dentistry (Licence: CA G91288-01) |
| Enumeration Date | 2007-06-21 |
| Last Update Date | 2020-03-18 |