NPI | 1770666760 |
---|---|
Entity Type | Organization |
Authorized Contact | ROBIN LYN CHAPMAN Secretary 909-982-8924 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 38647) |
Enumeration Date | 2006-10-23 |
Last Update Date | 2020-08-22 |