| NPI | 1780809913 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLES J. STEWART President 951-676-1232 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center Dental (Licence: CA 23384) |
| Enumeration Date | 2007-04-14 |
| Last Update Date | 2020-08-22 |