| NPI | 1194919878 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SERENA GUERRERO PUGEDA Dentist 916-446-7768 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 43064) |
| Enumeration Date | 2007-09-05 |
| Last Update Date | 2007-09-05 |