| NPI | 1679829337 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIA N MELLA President 619-274-1672 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 44034) |
| Enumeration Date | 2012-07-31 |
| Last Update Date | 2012-07-31 |