| NPI | 1902098809 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARILOU DYQUIANGCO ELIDO Dr 714-838-8881 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 43942) |
| Enumeration Date | 2007-08-14 |
| Last Update Date | 2007-08-14 |