| NPI | 1396111530 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KAREN BECERRA President And Dentist 760-602-5862 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: CA 55692) |
| Enumeration Date | 2015-08-11 |
| Last Update Date | 2015-08-11 |