| NPI | 1881817328 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MOHAMMAD GHAZI ABUL-FIELAT Owner 909-613-1144 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: CA 43302) |
| Enumeration Date | 2007-04-11 |
| Last Update Date | 2020-08-31 |