| NPI | 1679925390 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GERALDINE ENRIQUETA RUIZ President 714-497-2747 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist Pediatric Dentistry (Licence: CA 62249) |
| Enumeration Date | 2016-07-06 |
| Last Update Date | 2016-07-06 |