| NPI | 1700289154 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALEXANDER SANTOS FLORES President 562-925-5899 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: CA 43955) |
| Enumeration Date | 2014-09-30 |
| Last Update Date | 2014-09-30 |