NPI | 1689039570 |
---|---|
Entity Type | Organization |
Authorized Contact | JUAN A TREJO CANCHOLA Owner 951-842-0803 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 61049) |
Enumeration Date | 2015-12-21 |
Last Update Date | 2015-12-21 |