| NPI | 1023408580 |
|---|---|
| Doing Business As | GOLDEN STATE X-RAY |
| Entity Type | Organization |
| Authorized Contact | ERIC TAKEO IWAMOTO CEO/President 818-506-6861 |
| Organization Subpart ? | No |
| Primary Taxonomy | 292200000X Dental Laboratory (Licence: CA FAC00046448) |
| Enumeration Date | 2015-02-04 |
| Last Update Date | 2015-02-04 |