NPI | 1013063825 |
---|---|
Entity Type | Organization |
Authorized Contact | MA VICTORIA MEDIRAN RUIZ President 559-591-7188 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 44252) |
Enumeration Date | 2007-01-25 |
Last Update Date | 2008-07-11 |