| NPI | 1972887255 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SCOTT R DEXTER Dentist/CEO 909-800-3818 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: CA 55242) |
| Enumeration Date | 2011-10-04 |
| Last Update Date | 2011-10-04 |