| NPI | 1639443575 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | OTTO RAUL ALONZO President 559-776-1829 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: CA 50719) |
| Enumeration Date | 2012-02-23 |
| Last Update Date | 2012-02-23 |