| NPI | 1194967463 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ESTELA LACTAO GO Operations Manager 714-638-0018 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: CA 56191) |
| Enumeration Date | 2009-04-01 |
| Last Update Date | 2009-04-01 |