| NPI | 1891288072 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AVRY ARROYO-LOURENCO President 909-825-2175 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 56298) |
| Enumeration Date | 2018-06-12 |
| Last Update Date | 2018-06-12 |