| NPI | 1659621613 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SANTIAGO AMERICO ROJO Owner 951-656-3100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 58216) |
| Enumeration Date | 2012-09-17 |
| Last Update Date | 2015-04-15 |