| NPI | 1528263977 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIMBERLY QUAN HUBENETTE President 619-995-9234 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 41522) |
| Enumeration Date | 2007-06-17 |
| Last Update Date | 2020-08-22 |