| NPI | 1932384658 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MERYL BABETTE P TOLENTINO Office Manager 661-725-9393 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: CA 41798) |
| Enumeration Date | 2007-12-31 |
| Last Update Date | 2007-12-31 |