| NPI | 1942713417 |
|---|---|
| Doing Business As | WEST COAST DENTAL GROUP OF NORCO |
| Entity Type | Organization |
| Authorized Contact | MIGUEL REYES Q/A Contract Compliance Manager 310-409-4225 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: CA 39862) |
| Enumeration Date | 2017-11-07 |
| Last Update Date | 2017-11-07 |