| NPI | 1972787794 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VICKI VIDA KESTLER Owner 661-947-7777 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 41842) |
| Enumeration Date | 2007-12-28 |
| Last Update Date | 2007-12-28 |