NPI | 1659798262 |
---|---|
Entity Type | Organization |
Authorized Contact | IRENE M JUSTIN President 909-886-4864 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 51084) |
Enumeration Date | 2014-03-20 |
Last Update Date | 2014-05-27 |