| NPI | 1891126355 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EDNA P VIZCONDE Secretary 714-228-1230 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 31414) |
| Enumeration Date | 2013-12-10 |
| Last Update Date | 2013-12-10 |