| NPI | 1528225703 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIA BUENAVENTURA BALAGTAS Owner 714-633-9614 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 45225) |
| Enumeration Date | 2008-05-16 |
| Last Update Date | 2016-09-01 |