| NPI | 1871926501 |
|---|---|
| Doing Business As | EJ DENTAL & ORTHODONTICS |
| Entity Type | Organization |
| Authorized Contact | ELVIA JUAREZ-MATA President 951-302-1376 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice |
| Enumeration Date | 2013-08-16 |
| Last Update Date | 2021-08-17 |