| NPI | 1083853469 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARTA E MEJIA Partner /Dds 951-826-6333 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 54274) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: CA 39841) |
| Enumeration Date | 2009-02-09 |
| Last Update Date | 2009-02-09 |