| NPI | 1053430710 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALEJANDRINA AREIZAGA COO 619-507-7994 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: CA 090000679) |
| Enumeration Date | 2007-03-27 |
| Last Update Date | 2020-08-22 |