| NPI | 1770770802 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROSEMARIE M DAM Owner/Dentist 909-865-6585 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 47251) |
| Enumeration Date | 2007-10-03 |
| Last Update Date | 2007-10-03 |