| NPI | 1104955475 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARTHA R LUCERO Owner And President 714-534-9480 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 35947) |
| Enumeration Date | 2007-03-05 |
| Last Update Date | 2012-02-08 |