| NPI | 1003320979 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAURA FLORES Office Manager 619-961-9867 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 42542) |
| Enumeration Date | 2017-11-29 |
| Last Update Date | 2017-11-29 |