| NPI | 1063554756 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SARA FLAVIA VALENCIA Dentist Owner 310-783-0344 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: CA 0070971) |
| Enumeration Date | 2007-02-12 |
| Last Update Date | 2020-08-22 |