| NPI | 1326381450 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JORGE L GERONIMO Dentist 951-924-6370 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 47897) |
| Enumeration Date | 2013-03-27 |
| Last Update Date | 2013-03-27 |