| NPI | 1598425399 |
|---|---|
| Doing Business As | MURRIETA MODERN DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | JASON C. ANTONIO Owner 951-370-1529 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist |
| Enumeration Date | 2021-12-21 |
| Last Update Date | 2021-12-21 |