| NPI | 1699972570 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIA LOURDES BRIZ DIMATERA Owner 559-876-1777 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 44862) |
| Enumeration Date | 2007-07-02 |
| Last Update Date | 2008-09-08 |