NPI | 1063714939 |
---|---|
Entity Type | Organization |
Authorized Contact | VICTORIA CAROLINA POCASANGRE Dentist 559-331-4506 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 54299) |
Enumeration Date | 2010-11-29 |
Last Update Date | 2010-11-29 |