| NPI | 1497140529 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSE L GARCIA Owner Doctor 951-296-5100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist Orthodontics and Dentofacial Orthopedics |
| Enumeration Date | 2015-04-06 |
| Last Update Date | 2019-03-12 |