| NPI | 1396968335 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROSIEMARIE MATILDE CRUZ Principal Stockholder 562-433-1232 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: CA 36350) |
| Enumeration Date | 2007-04-10 |
| Last Update Date | 2014-03-03 |