| NPI | 1609382605 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GILBERTO OLAGUE Dentist 805-404-1451 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 59467) |
| Enumeration Date | 2017-12-28 |
| Last Update Date | 2017-12-28 |