| NPI | 1013933647 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EVELYN G. CARLOS President 818-551-9664 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 31583) |
| Enumeration Date | 2006-07-15 |
| Last Update Date | 2022-07-21 |