| NPI | 1801210570 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT RICHARD IANNELLO Dentist/CEO 951-242-4000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: CA 33101) |
| Enumeration Date | 2014-02-14 |
| Last Update Date | 2014-02-14 |