| NPI | 1386937753 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARCELO GABRIEL TOLEDO President 909-319-3600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Additional Taxonomies | 122300000X Dentist (Licence: CA 54668) |
| Enumeration Date | 2011-05-18 |
| Last Update Date | 2024-03-17 |