| NPI | 1184001141 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSEPHINE AGNE AGUDA President 714-680-4521 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: CA 47222) |
| Enumeration Date | 2015-04-29 |
| Last Update Date | 2015-04-29 |