| NPI | 1699396846 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NIHAR D TANNA President/Owner 909-464-9348 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics |
| Enumeration Date | 2020-04-29 |
| Last Update Date | 2020-04-29 |