| NPI | 1740491653 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALBERTO GONZALEZ President 760-746-2150 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 49533) |
| Enumeration Date | 2007-05-24 |
| Last Update Date | 2020-08-22 |