| NPI | 1689900870 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | IRENE JUSTIN President 951-536-8419 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 51084) |
| Enumeration Date | 2009-10-23 |
| Last Update Date | 2009-10-23 |