| NPI | 1922191642 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AARON R. VALENCIA Business Administrator 619-216-2121 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 27173) |
| Enumeration Date | 2006-10-02 |
| Last Update Date | 2020-08-22 |