| NPI | 1689885287 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DIEGO ALBERTO ROJAS Director 916-580-3781 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: CA 50817) |
| Enumeration Date | 2007-05-24 |
| Last Update Date | 2020-08-22 |