| NPI | 1952544744 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AARON DANIEL GUDINO Owner 562-381-3140 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 58044) |
| Enumeration Date | 2009-04-09 |
| Last Update Date | 2011-06-13 |