| NPI | 1861833998 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAURA ELENA FLORES Office Manager 619-591-2642 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: CA 42542) |
| Enumeration Date | 2013-07-17 |
| Last Update Date | 2013-07-17 |