| NPI | 1588060214 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VIVENCIO BUNQUIN ABANTE Dentist 619-426-1130 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center Dental (Licence: CA 45223) |
| Enumeration Date | 2014-11-06 |
| Last Update Date | 2014-11-06 |