| NPI | 1871792093 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MYRA CANTALEJO LUNA Dentist 714-774-7055 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 48238) |
| Enumeration Date | 2007-07-17 |
| Last Update Date | 2009-02-11 |