| NPI | 1205219110 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BENITO JULIAN Dentist/President 559-225-0395 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: CA 44490) |
| Enumeration Date | 2015-07-09 |
| Last Update Date | 2015-07-09 |