| NPI | 1447767447 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FLORABEL F OLIVER-BADILLO President 858-566-6099 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: CA 49621) |
| Enumeration Date | 2017-12-29 |
| Last Update Date | 2017-12-29 |