| NPI | 1265792105 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIO VALDE PENA ROBLES President 626-338-7070 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: CA 35162) |
| Enumeration Date | 2012-05-25 |
| Last Update Date | 2012-05-25 |