| NPI | 1639308679 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CECILLE HO Owner/Dentist 909-625-6545 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 53706) |
| Enumeration Date | 2009-07-13 |
| Last Update Date | 2022-06-23 |