| NPI | 1073863890 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FEMME AMBROSIO Owner 858-603-6345 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: CA 60250) |
| Enumeration Date | 2012-09-19 |
| Last Update Date | 2012-09-19 |