| NPI | 1639731888 |
|---|---|
| Doing Business As | CORONA MODERN DENTISTRY DENTAL GROUP |
| Entity Type | Organization |
| Authorized Contact | TREVOR J THOMAS Owner 951-531-9693 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2019-07-08 |
| Last Update Date | 2019-07-08 |