| NPI | 1821403353 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JANICE W. KLIM-LEMANN President 909-226-0250 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 032476) |
| Enumeration Date | 2014-06-23 |
| Last Update Date | 2014-06-23 |