| NPI | 1861640732 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NICK SARMIENTO Secretary 661-729-1818 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 44320) |
| Enumeration Date | 2008-09-04 |
| Last Update Date | 2010-03-12 |