| NPI | 1467669028 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALEXANDER GUZMAN SANTOS Owner 909-393-5300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center Dental (Licence: CA 35987) |
| Enumeration Date | 2007-05-16 |
| Last Update Date | 2011-08-15 |