| NPI | 1366501579 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SILVIA T BORISSON President 661-285-4001 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: CA 49280) |
| Enumeration Date | 2006-12-06 |
| Last Update Date | 2020-08-22 |