| NPI | 1942868690 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KRISTOPHER MENDOZA Owner 559-367-2336 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223D0004X Dentist, Dentist Anesthesiologist Speciality |
| Enumeration Date | 2019-05-29 |
| Last Update Date | 2019-05-29 |