| NPI | 1003106717 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RENATO LIMEN CALUGCUGAN CEO 818-786-7986 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: CA 40654) |
| Enumeration Date | 2011-04-14 |
| Last Update Date | 2011-04-14 |