| NPI | 1518261189 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VICTOR DE LOS SANTOS Dentist 562-426-1298 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 36534) |
| Enumeration Date | 2010-12-22 |
| Last Update Date | 2010-12-22 |