| NPI | 1073479739 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LUIS FERNANDO FLORES RIVERA Dentist/ Owner 323-384-5199 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2025-12-26 |
| Last Update Date | 2025-12-26 |