| NPI | 1457280604 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KRISTINA PADILLA Owner Dentist 760-269-8830 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Additional Taxonomies | 122300000X Dentist |
| Enumeration Date | 2026-05-14 |
| Last Update Date | 2026-05-14 |