| NPI | 1447526611 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JUANITA CONTRERAS Office Manager 714-935-0029 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 48096) |
| Enumeration Date | 2012-04-01 |
| Last Update Date | 2012-04-01 |