| NPI | 1669908893 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CRYSTAL QUINTERO Biller 951-691-5096 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 53453) |
| Enumeration Date | 2017-05-09 |
| Last Update Date | 2017-05-09 |