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 |