| NPI | 1114428760 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARTHA LILIANA ALVAREZ Owner/President 949-455-9480 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: CA 49447) |
| Enumeration Date | 2018-02-27 |
| Last Update Date | 2018-06-16 |