| 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 |