| NPI | 1730227414 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RODOLFO P QUIROZ Secretary 619-395-4606 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 45760) |
| Enumeration Date | 2007-02-02 |
| Last Update Date | 2008-07-17 |