| NPI | 1952538761 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARLOS S ABBOUD Periodontist And Implant Surgeon 909-289-9034 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Additional Taxonomies | 1223E0200X Dentist, Endodontics |
| 1223P0300X Dentist, Periodontics | |
| 1223S0112X Dentist, Oral and Maxillofacial Surgery | |
| Enumeration Date | 2009-06-18 |
| Last Update Date | 2009-06-18 |