| NPI | 1770384364 |
|---|---|
| Doing Business As | 4.0 DENTAL / EDEN DENTAL |
| Entity Type | Organization |
| Authorized Contact | TREVOR JOHN CHEN Doctor 951-476-4300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2025-03-20 |
| Last Update Date | 2025-03-20 |