| NPI | 1952835282 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSE L FLORES Dentist 562-862-2600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 305R00000X Preferred Provider Organization (Licence: CA 33577) |
| Enumeration Date | 2017-04-13 |
| Last Update Date | 2017-04-13 |