| NPI | 1467967422 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL LUNA DE LA CRUZ President 951-486-9179 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: CA 38829) |
| Enumeration Date | 2017-12-12 |
| Last Update Date | 2017-12-12 |