| NPI | 1598160624 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATRICK BRIAN STIEWEL President 951-658-9486 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: CA d22848) |
| Enumeration Date | 2014-10-31 |
| Last Update Date | 2020-08-12 |