| NPI | 1760987168 | 
|---|---|
| Doing Business As | THE ROOT CANAL DOCTOR | 
| Entity Type | Organization | 
| Authorized Contact | JOSE ENRIQUE AREVALO Owner 951-250-5812 | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 1223E0200X Dentist, Endodontics | 
| Additional Taxonomies | 261QD0000X Clinic/Center, Dental | 
| Enumeration Date | 2018-03-27 | 
| Last Update Date | 2022-10-28 |