| 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 |