| NPI | 1245516020 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARTHA LOUISANA ITURRIAGA Owner/President 408-259-2214 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: CA 60302) |
| Enumeration Date | 2011-10-25 |
| Last Update Date | 2013-02-25 |