| NPI | 1235655788 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAURA FLORES Manager 619-961-9867 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: CA 42542) |
| Enumeration Date | 2017-08-16 |
| Last Update Date | 2022-07-21 |