| NPI | 1801034517 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | OSSAMA MURAD SAFAR CEO 909-896-0509 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: CA 55303) |
| Enumeration Date | 2009-02-03 |
| Last Update Date | 2009-02-04 |