| NPI | 1457572166 |
|---|---|
| Doing Business As | CORPORATION |
| Entity Type | Organization |
| Authorized Contact | ALFONSO EDGAR MARTINEZ President 626-575-7565 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 25314) |
| Enumeration Date | 2007-05-01 |
| Last Update Date | 2020-12-10 |