NPI | 1790931046 |
---|---|
Entity Type | Organization |
Authorized Contact | LETICIA VALENZUELA Area Manager 951-340-0200 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 53592) |
Enumeration Date | 2008-08-18 |
Last Update Date | 2008-08-18 |