| NPI | 1659997716 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AHMAD YOSIF Owner 909-967-3444 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist |
| Additional Taxonomies | 261QD0000X Clinic/Center Dental |
| Enumeration Date | 2020-06-24 |
| Last Update Date | 2021-04-13 |