NPI | 1942372651 |
---|---|
Entity Type | Organization |
Authorized Contact | LLOYD ALFRED PRAGASAM President CEO 909-793-3443 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 26219) |
Enumeration Date | 2006-11-15 |
Last Update Date | 2020-08-22 |