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 |