| NPI | 1942498746 | 
|---|---|
| Doing Business As | CUSTOM DENTAL | 
| Entity Type | Organization | 
| Authorized Contact | BENJAMIN J. LIN Owner/Dentist 661-387-6577  | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 54173)  | 
| Enumeration Date | 2007-10-07 | 
| Last Update Date | 2012-02-21 |