| NPI | 1528382769 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RITA C. SOTO Officer/Dentist 760-771-8334 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: CA 44092) |
| Enumeration Date | 2010-03-17 |
| Last Update Date | 2010-03-17 |