| NPI | 1174538524 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RONALDO ROQUE SALDANA Dentist 619-422-7252 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: CA 48008) |
| Enumeration Date | 2006-07-31 |
| Last Update Date | 2015-02-17 |