| NPI | 1265821235 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PETER ESCUTIN President 951-371-2424 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 38992) |
| Enumeration Date | 2015-01-14 |
| Last Update Date | 2015-01-14 |