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 |