| NPI | 1770359085 |
|---|---|
| Doing Business As | SAN BENARDINO FAMILY DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | SAM DANIEL DASON President 909-904-3956 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2023-11-28 |
| Last Update Date | 2023-11-28 |