NPI | 1205169729 |
---|---|
Entity Type | Organization |
Authorized Contact | MYRNA VELASQUEZ Office Manager 661-871-3736 |
Organization Subpart ? | Yes |
Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: CA 33020) |
Enumeration Date | 2009-09-16 |
Last Update Date | 2009-09-16 |