NPI | 1679890479 |
---|---|
Entity Type | Organization |
Authorized Contact | YOLANDA ESCOBAR Biller 626-289-2028 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 36573) |
Enumeration Date | 2010-05-03 |
Last Update Date | 2010-05-03 |