| NPI | 1457435125 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GERARD DURANTE SALVOSA Owner President 714-779-6888 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: CA 44253) |
| Enumeration Date | 2006-10-25 |
| Last Update Date | 2008-07-10 |