| NPI | 1306190095 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | REBECCA IRENE ALCAZAREN PENA President 562-920-1726 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist Oral and Maxillofacial Surgery |
| Additional Taxonomies | 122300000X Dentist |
| Enumeration Date | 2012-11-01 |
| Last Update Date | 2023-03-07 |