| NPI | 1851454920 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HENDRICK GONZALEZ President 805-922-7725 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA S0604) |
| Enumeration Date | 2006-12-19 |
| Last Update Date | 2008-08-01 |