| NPI | 1326190034 |
|---|---|
| Former Legal Business Name | HACIENDA FAMILY DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | NELLY A PARAYNO Owner President 626-917-5980 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: CA 39062) |
| Enumeration Date | 2007-01-16 |
| Last Update Date | 2020-08-22 |