| NPI | 1609051820 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELAINE ANNE RICHARDS Office Manager 951-352-5838 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA D50531) |
| Enumeration Date | 2008-01-07 |
| Last Update Date | 2008-01-07 |