| NPI | 1245690759 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROLANDO OSCAR GONZALEZ President 951-672-9799 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 33202) |
| Enumeration Date | 2016-02-25 |
| Last Update Date | 2016-02-25 |