| NPI | 1043787203 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARCELO TOLEDO President/Dentist Professional 909-875-1865 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251V00000X Voluntary or Charitable |
| Enumeration Date | 2018-10-25 |
| Last Update Date | 2018-10-25 |