| NPI | 1790943470 |
|---|---|
| Former Legal Business Name | CHILDREN'S DENTISTRY OF RANCHO CUCAMONGA |
| Entity Type | Organization |
| Authorized Contact | ISABELLA PIEDRA Dentist 909-483-6851 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: CA 47307) |
| Enumeration Date | 2008-05-29 |
| Last Update Date | 2020-04-13 |