| 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 |