| NPI | 1306193768 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ESMERALDA MUNOZ President 831-372-7548 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 57710) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: CA 57672) |
| Enumeration Date | 2012-08-04 |
| Last Update Date | 2012-08-04 |