NPI | 1598011793 |
---|---|
Doing Business As | PEDIATRIC DENTISTRY OF REDLANDS |
Entity Type | Organization |
Authorized Contact | CAMERON EDWARD FULLER Owner 909-793-4326 |
Organization Subpart ? | No |
Primary Taxonomy | 1223P0221X Dentist Pediatric Dentistry (Licence: CA 55344) |
Enumeration Date | 2012-07-25 |
Last Update Date | 2012-07-25 |