| NPI | 1003126590 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MILAGROS A LOO President 626-960-9440 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 26167) |
| Enumeration Date | 2010-10-18 |
| Last Update Date | 2010-10-18 |