| NPI | 1003307844 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELIZA LOPEZ Office Administrator 951-399-0900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223E0200X Dentist, Endodontics (Licence: CA 55443) |
| Enumeration Date | 2018-05-29 |
| Last Update Date | 2018-05-29 |