| NPI | 1609933266 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EDNA PASQUEL BRAZA Dentist 805-240-7996 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 43228) |
| Enumeration Date | 2007-01-03 |
| Last Update Date | 2020-08-22 |