| NPI | 1841344850 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELQUIADES VASQUEZ FRONDA President 909-882-3706 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: CA DZ36922) |
| Enumeration Date | 2007-01-23 |
| Last Update Date | 2021-01-04 |