| NPI | 1801343322 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RHEA MENDOZA Dental Assistant/Office Manager 858-271-0600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: CA 38303) |
| Enumeration Date | 2016-09-01 |
| Last Update Date | 2016-09-01 |