| NPI | 1598083040 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANA YSABEL PALACIOS President 714-558-7055 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 55938) |
| Enumeration Date | 2010-05-07 |
| Last Update Date | 2016-03-15 |