NPI | 1467945212 |
---|---|
Entity Type | Organization |
Authorized Contact | IVAN ALEJANDRO MEDINA-MARTINEZ President 661-437-6877 |
Organization Subpart ? | No |
Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: CA 102012) |
Enumeration Date | 2018-06-07 |
Last Update Date | 2023-03-07 |