| NPI | 1255597530 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARILOU S. TOQUERO Chief Executive Officer 562-496-1888 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center Dental (Licence: CA 54432) |
| Enumeration Date | 2008-08-06 |
| Last Update Date | 2008-08-06 |