NPI | 1144215401 |
---|---|
Entity Type | Organization |
Authorized Contact | JOSE A BORROEL Office Manager 661-945-2645 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 44723) |
Enumeration Date | 2005-09-13 |
Last Update Date | 2008-06-30 |