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 |