| NPI | 1023485745 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SERGIO RICARDO AGUILAR Dentist 714-835-4057 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 36881) |
| Enumeration Date | 2015-08-28 |
| Last Update Date | 2015-08-28 |