| NPI | 1689146920 |
|---|---|
| Doing Business As | CAMP LITTLE TOOTH PEDIATRIC DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | RAELENE FRANCES FULFORD Owner/Manager 909-771-7971 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2018-12-27 |
| Last Update Date | 2018-12-27 |