ASSISTANCE LEAGUE OF SAN BERNARDINO
Organization (NPI-2)
Active
Dentist, Pediatric Dentistry
Provider Information
- NPI Number
1780708768- Provider Type
- Organization / Facility (NPI-2)
- Status
- Active
Contact & Location
- Address
- 580 W 6TH ST, SAN BERNARDINO, CA, 924103002
- Phone
- (909) 885-2045
- Fax
- (909) 885-5900
Specialties & Taxonomies
Dentist, Pediatric Dentistry
Primary License: CA #54145