| NPI | 1831306661 |
|---|---|
| Doing Business As | FONTANA DENTAL |
| Entity Type | Organization |
| Authorized Contact | DENNIS R FRATT Owner 909-356-2006 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2007-05-17 |
| Last Update Date | 2009-12-21 |