| NPI | 1093266785 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARCELA DOLORES AYALA ARIZMENDI Dentist 714-774-3000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 61047) |
| Additional Taxonomies | 122300000X Dentist (Licence: CA 49794) |
| Enumeration Date | 2016-10-18 |
| Last Update Date | 2016-10-18 |