| NPI | 1760672588 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CLARA ESPINOZA BALANCIO Doctor 707-643-2273 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 49040) |
| Enumeration Date | 2007-07-27 |
| Last Update Date | 2007-07-27 |