| NPI | 1730291832 |
|---|---|
| Doing Business As | DENTAL FAMILIAR & ORTHO |
| Entity Type | Organization |
| Authorized Contact | BEATRIZ VIDALES Dental Director 760-743-6790 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 305R00000X Preferred Provider Organization (Licence: CA 45212) |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2013-09-27 |