NPI | 1033477443 |
---|---|
Entity Type | Organization |
Authorized Contact | ALBERT PACHECO Executive Director 213-201-2745 |
Organization Subpart ? | No |
Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: CA 960001398) |
Enumeration Date | 2012-04-24 |
Last Update Date | 2012-04-24 |