| NPI | 1619026242 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RONALD LEE SINGER President 661-259-6142 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: CA 28092) |
| Enumeration Date | 2007-01-10 |
| Last Update Date | 2016-01-29 |