| NPI | 1538351861 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LUIS EDUARDO CALIXTO President 619-287-8437 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center Dental (Licence: CA 41363) |
| Enumeration Date | 2007-08-10 |
| Last Update Date | 2007-08-10 |