| NPI | 1326345497 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JORGE ALFREDO FLORES Chief Executive Officer 909-820-2420 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: CA 49313) |
| Enumeration Date | 2011-02-25 |
| Last Update Date | 2011-02-25 |