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 |