| NPI | 1376848903 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SARA V QUINTERO Dentist 714-289-9908 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 50512) |
| Additional Taxonomies | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2011-01-12 |
| Last Update Date | 2019-12-19 |