| NPI | 1629173547 |
|---|---|
| Doing Business As | WINERY ESTATE DENTAL GROUP |
| Entity Type | Organization |
| Authorized Contact | CAROLYN G GHAZAL Owner Dds 909-646-7902 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2006-09-14 |
| Last Update Date | 2009-06-03 |