| NPI | 1962845693 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CATALINA GONZALEZ Rda/Receptionist 559-635-0206 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 61990) |
| Enumeration Date | 2013-04-11 |
| Last Update Date | 2013-04-11 |