| NPI | 1396922472 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIA CAROLINA DE LEON REGALADO President/ Secretary 562-402-9196 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: CA 50816) |
| Enumeration Date | 2008-01-30 |
| Last Update Date | 2008-01-30 |