| NPI | 1609965458 |
|---|---|
| Doing Business As | N. RANCHO CUCAMONGA DENTAL GROUP |
| Entity Type | Organization |
| Authorized Contact | CAROLYN G GHAZAL Owner Dds 909-581-0888 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 38682) |
| Additional Taxonomies | 1223P0300X Dentist, Periodontics (Licence: CA 43860) |
| 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: CA 37440) | |
| 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: CA 50857) | |
| Enumeration Date | 2006-10-12 |
| Last Update Date | 2020-08-22 |