| NPI | 1225404023 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GLORIA ESTELLA VILLEGAS Owner Dentist 949-648-4769 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302R00000X Health Maintenance Organization (Licence: CA 58271) |
| Enumeration Date | 2015-08-15 |
| Last Update Date | 2020-07-30 |