| NPI | 1164595260 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RITA CHRISTINE SOTO Owner 760-771-8334 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: CA 44092) |
| Enumeration Date | 2006-11-16 |
| Last Update Date | 2020-08-22 |