| NPI | 1659744803 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TAREQ MOHYI-ELDIN AFIFI Dentist 909-613-0111 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 61584) |
| Enumeration Date | 2015-11-10 |
| Last Update Date | 2015-11-10 |