| NPI | 1639544174 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIEL ALEXANDER FLORES Orthodontist 760-745-1831 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: CA 30685) |
| Enumeration Date | 2015-12-09 |
| Last Update Date | 2015-12-09 |