NPI | 1629269055 |
---|---|
Entity Type | Organization |
Authorized Contact | MARTIN ORTIZ OLIVEROS Dentist/Owner 760-757-5037 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 52444) |
Enumeration Date | 2007-08-09 |
Last Update Date | 2007-08-09 |