| NPI | 1720359466 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SALLY ESQUIVEL Dentist/Owner 909-985-1211 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 50054) |
| Enumeration Date | 2012-01-25 |
| Last Update Date | 2012-01-25 |