| NPI | 1871633172 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MISAKO HIROTA Owner President 619-474-4695 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA DE35117) |
| Enumeration Date | 2007-02-07 |
| Last Update Date | 2009-08-06 |