| NPI | 1063644961 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELEANOR MADRID LUMAHAN President 619-336-6063 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 54283) |
| Enumeration Date | 2009-08-12 |
| Last Update Date | 2019-10-10 |