| NPI | 1477966067 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALEJANDRA HUITRON Office Manager 760-732-3100 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 1223P0221X Dentist Pediatric Dentistry (Licence: CA 41405) |
| Enumeration Date | 2014-06-11 |
| Last Update Date | 2020-11-10 |