| NPI | 1902921349 |
|---|---|
| Doing Business As | GOLDEN WEST DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | VICTOR R CAMONES President 909-822-4800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: CA 43325) |
| Enumeration Date | 2007-03-21 |
| Last Update Date | 2020-08-22 |