| NPI | 1821484916 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEBBIE MAGANA Insurance Manager 831-655-6439 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: CA 58221) |
| Enumeration Date | 2015-04-15 |
| Last Update Date | 2015-09-18 |