| NPI | 1780708768 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHERYL FULTON FISCHER Chair, Dr. Earl R. Crane Children's 909-885-2045 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: CA 54145) |
| Enumeration Date | 2007-03-16 |
| Last Update Date | 2020-08-22 |