| NPI | 1194071993 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARTHA I VELEZ Dentist/Owner 559-443-7494 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: CA 47005) |
| Enumeration Date | 2012-07-30 |
| Last Update Date | 2012-07-30 |