| NPI | 1073719274 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICARDO ANGEL PELLEGRINI President 818-908-4090 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center Dental (Licence: CA 51128) |
| Enumeration Date | 2007-06-25 |
| Last Update Date | 2020-08-22 |