| NPI | 1619164241 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RENE HERRERA President 559-781-2729 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 51773) |
| Enumeration Date | 2007-09-27 |
| Last Update Date | 2007-09-27 |