| NPI | 1922185115 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERICK NOEL CUENCA Owner 559-299-9008 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 38980) |
| Enumeration Date | 2006-11-01 |
| Last Update Date | 2017-02-13 |