| NPI | 1780030585 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT JAMES HOUCHIN Owner 909-576-3999 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: CA 28166) |
| Enumeration Date | 2016-05-11 |
| Last Update Date | 2019-02-12 |