| NPI | 1982078614 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RANDALL EUGENE HOFF Owner 909-307-5353 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: CA 31927) |
| Enumeration Date | 2015-11-18 |
| Last Update Date | 2015-11-18 |