| NPI | 1043528607 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VIRIGNIA C CASTELO President 323-666-3852 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: CA 40554) |
| Enumeration Date | 2010-09-16 |
| Last Update Date | 2010-09-16 |