| NPI | 1639677438 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VIOLETA GONZALEZ Office Staff 562-508-8864 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: CA 56246) |
| Enumeration Date | 2018-01-26 |
| Last Update Date | 2018-01-26 |