| NPI | 1114198868 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARTHA L GUTIERREZ President 562-692-5311 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center Dental (Licence: CA D44176) |
| Enumeration Date | 2008-03-20 |
| Last Update Date | 2008-03-20 |