| NPI | 1164570594 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERNESTINA AVALOS-FIGUEROA President 949-831-5511 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 28685) |
| Enumeration Date | 2007-01-08 |
| Last Update Date | 2020-08-22 |