| NPI | 1205017746 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARMEN CAMONES Manager 714-956-4490 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA D43325) |
| Enumeration Date | 2007-11-26 |
| Last Update Date | 2019-09-09 |