| NPI | 1386464394 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MIRNA ESTELA VELASQUEZ Partner/Business Manager 714-661-6082 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2024-10-14 |
| Last Update Date | 2024-11-04 |