| NPI | 1336328525 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EDITHA LEGASPI BOONGALING Dentist/Owner 707-552-8684 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 40653) |
| Enumeration Date | 2007-10-24 |
| Last Update Date | 2007-10-24 |