| NPI | 1306174347 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTINA MAGDALENA MEJIA Front Office Manager 951-698-2277 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 42631) |
| Enumeration Date | 2009-12-03 |
| Last Update Date | 2010-01-07 |