| NPI | 1811034341 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GISELLA M.L. ANGARITA CEO 909-984-1576 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 41340) |
| Enumeration Date | 2007-02-01 |
| Last Update Date | 2014-08-14 |