| NPI | 1982922522 |
|---|---|
| Doing Business As | BALDWIN PARK DENTAL OFFICE |
| Entity Type | Organization |
| Authorized Contact | JEANNIE BANEZ GARCIA Dentist 626-480-7777 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Additional Taxonomies | 122300000X Dentist (Licence: CA 50437) |
| Enumeration Date | 2010-05-06 |
| Last Update Date | 2020-03-04 |