| NPI | 1760678650 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LUCIANE QUEIROZ President 661-833-0707 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 52674) |
| Enumeration Date | 2007-09-24 |
| Last Update Date | 2007-09-24 |