| NPI | 1154404655 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SERGIO MONCADA President/Owner 714-547-2814 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 41027) |
| Enumeration Date | 2006-10-20 |
| Last Update Date | 2020-08-22 |