| NPI | 1639379803 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MANUEL ROBERTO ARREDONDO Owner 619-422-6359 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 43309) |
| Enumeration Date | 2007-07-24 |
| Last Update Date | 2021-11-03 |