| NPI | 1508094061 |
|---|---|
| Former Legal Business Name | MANUEL ARTEAGA/ANGEL BOLOICO |
| Entity Type | Organization |
| Authorized Contact | MANUEL R ARTEAGA Dentist/Owner 951-352-7260 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 43310) |
| Enumeration Date | 2009-06-23 |
| Last Update Date | 2009-06-23 |