| NPI | 1730627431 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT SHAROBIEM Owner 951-237-7245 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: PA DS040134) |
| Enumeration Date | 2017-02-02 |
| Last Update Date | 2017-02-02 |