| NPI | 1982760757 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RODNEY DALE NEAL Sr. Vice President 909-558-4543 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223E0200X Dentist Endodontics (Licence: CA 2034) |
| Enumeration Date | 2006-12-28 |
| Last Update Date | 2020-03-18 |