| NPI | 1407304660 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL MARTINEZ Office Manager 714-999-5050 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 24098) |
| Enumeration Date | 2016-09-16 |
| Last Update Date | 2016-09-16 |