| NPI | 1003191982 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LUIS A HERRERA President/Owner 310-330-0080 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: CA 53222) |
| Enumeration Date | 2011-10-11 |
| Last Update Date | 2011-10-11 |