| NPI | 1467658856 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALICE G. ALATORRE Dentist 760-775-0087 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 30970) |
| Enumeration Date | 2007-06-22 |
| Last Update Date | 2020-08-22 |