| NPI | 1053790105 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RENE HERRERA President/Owner 661-836-6651 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 41837) |
| Enumeration Date | 2015-05-21 |
| Last Update Date | 2015-05-21 |