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 |