| NPI | 1841433695 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GRACE VELASQUEZ Practice Manager 619-964-0750 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 48042) |
| Enumeration Date | 2009-04-09 |
| Last Update Date | 2009-04-09 |