| NPI | 1104042100 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | OSCAR E VALENZUELA President 562-860-1611 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0300X Dentist, Periodontics (Licence: CA 27392) |
| Enumeration Date | 2007-04-18 |
| Last Update Date | 2020-08-22 |