| NPI | 1679890545 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALBERTO SUELDO Partner 951-943-7171 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 53733) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: CA 55135) |
| Enumeration Date | 2010-04-30 |
| Last Update Date | 2010-04-30 |