| NPI | 1912119157 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HECTOR MARQUEZ MAGPAYO Dentist 760-256-2896 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 34153) |
| Enumeration Date | 2007-05-03 |
| Last Update Date | 2020-08-22 |