| 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 |