| NPI | 1316137102 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARTHA C. DIAZ Office Manager 661-827-9183 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: CA 33020) |
| Enumeration Date | 2007-07-27 |
| Last Update Date | 2007-07-27 |