| NPI | 1720264815 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EDITH SANCHEZ Office Manager 909-822-6200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 33258) |
| Enumeration Date | 2008-01-18 |
| Last Update Date | 2014-08-11 |