| NPI | 1326612607 |
|---|---|
| Doing Business As | HACIENDA FAMILY DENTAL |
| Entity Type | Organization |
| Authorized Contact | LUPE GOMEZ Office Manager 626-336-2878 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2021-05-19 |
| Last Update Date | 2022-02-01 |