| NPI | 1528495009 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NICANOR JEBUNAN BAUTISTA President 951-445-4040 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 50727) |
| Enumeration Date | 2013-09-30 |
| Last Update Date | 2013-09-30 |