| NPI | 1699890350 |
|---|---|
| Other Name | PORTIA MARISTELA ESCOBAR, PROFESSIONAL DENTAL CORPORATION |
| Entity Type | Organization |
| Authorized Contact | PORTIA ESCOBAR President 707-557-6680 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 45854) |
| Enumeration Date | 2007-03-20 |
| Last Update Date | 2012-04-30 |