| NPI | 1487167144 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARTHA BEATRIZ MARTINEZ CEO 562-309-2423 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: CA 58520) |
| Enumeration Date | 2017-11-15 |
| Last Update Date | 2019-06-21 |