| NPI | 1841396637 |
|---|---|
| Doing Business As | HUB PLAZA DENTAL GROUP |
| Entity Type | Organization |
| Authorized Contact | TANISHA A JACKSON Owner Dds 909-796-6700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice |
| Enumeration Date | 2006-09-16 |
| Last Update Date | 2009-05-29 |