| NPI | 1164847729 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AUSTREBERTO BOIDO ALBELAIS Dentist 626-281-1880 |
| Organization Subpart ? | No |
| Primary Taxonomy | 305R00000X Preferred Provider Organization (Licence: CA 23881) |
| Enumeration Date | 2014-02-19 |
| Last Update Date | 2014-02-19 |