| NPI | 1649414871 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CLAUDIA PATRICIA CORTES CEO 909-471-1186 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 57001) |
| Enumeration Date | 2009-05-01 |
| Last Update Date | 2015-06-25 |