| NPI | 1679700553 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JALPAN MANHARLAL SHAH President 909-799-5656 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: CA 51303) |
| Enumeration Date | 2009-06-17 |
| Last Update Date | 2009-06-17 |