| NPI | 1013273093 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AILEEN CONTRERAS LUNA Dentist 909-684-0123 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 50780) |
| Enumeration Date | 2012-04-04 |
| Last Update Date | 2012-04-04 |