| NPI | 1629576608 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SERAFIN LABAO BERNARDO President/Owner/Dentist 909-422-0885 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: CA 37788) |
| Enumeration Date | 2018-01-25 |
| Last Update Date | 2018-01-25 |