| NPI | 1497280267 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EVA MARIE ZALDIVAR LARGOZA Doctor/Business Owner 707-552-8668 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: CA 50299) |
| Enumeration Date | 2017-04-28 |
| Last Update Date | 2017-04-28 |