NPI | 1831399351 |
---|---|
Entity Type | Organization |
Authorized Contact | MARTHA C. DIAZ Office Manager 661-827-9183 |
Organization Subpart ? | Yes |
Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: CA 33020) |
Enumeration Date | 2007-07-23 |
Last Update Date | 2007-07-23 |