| NPI | 1093884454 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ARACELLY MONTENEGRO Senior Manager 714-578-6358 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 55643) |
| Enumeration Date | 2006-11-07 |
| Last Update Date | 2016-04-11 |