| NPI | 1801029681 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELIZABETH DUARTE Biller 909-988-1800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: CA 50895) |
| Enumeration Date | 2009-08-27 |
| Last Update Date | 2009-08-27 |