| NPI | 1417784620 |
|---|---|
| Doing Business As | EL CAMINO FAMILY DENTAL PRACTICE |
| Entity Type | Organization |
| Authorized Contact | EDWIN PANGAN TORRES CEO/President 916-515-9363 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2024-09-19 |
| Last Update Date | 2024-09-19 |