NPI | 1023253127 |
---|---|
Entity Type | Organization |
Authorized Contact | JOEY SORIANO TIRADOR President & CEO 760-256-1189 |
Organization Subpart ? | Yes |
Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: CA CA 50993) |
Enumeration Date | 2008-12-04 |
Last Update Date | 2021-09-03 |