| NPI | 1992157655 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LUIS E REAL President Owner 619-851-8125 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: CA 52460) |
| Enumeration Date | 2016-07-06 |
| Last Update Date | 2016-07-06 |