| NPI | 1861687196 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VANDANA(VANNA) MASTER President 805-497-7505 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: CA 39042) |
| Enumeration Date | 2007-09-10 |
| Last Update Date | 2007-09-10 |