| NPI | 1609257203 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL MCWALTERS President 951-679-5384 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 44940) |
| Enumeration Date | 2015-06-09 |
| Last Update Date | 2015-06-09 |