| NPI | 1013067636 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EDWIN PINEDA RAMIREZ Owner President 661-721-1800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 40299) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: CA 40695) |
| 1223G0001X Dentist, General Practice (Licence: CA 52105) | |
| Enumeration Date | 2007-01-12 |
| Last Update Date | 2016-05-02 |