| NPI | 1710362090 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIEL ALEXANDER FLORES CEO 760-745-1831 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center Dental (Licence: CA 30685) |
| Enumeration Date | 2015-07-28 |
| Last Update Date | 2015-07-28 |