| 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 |