| NPI | 1821233776 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SERGEY BONDAR President 909-528-0614 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: TX 23727) |
| Enumeration Date | 2008-12-06 |
| Last Update Date | 2008-12-06 |