NPI | 1013187046 |
---|---|
Entity Type | Organization |
Authorized Contact | PATRICK Y CHALLITA President 626-355-2211 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 41900) |
Enumeration Date | 2008-03-05 |
Last Update Date | 2023-08-07 |