| NPI | 1073945556 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CORINTHIA MORALES ANDAL Dds 626-919-2322 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: CA 53574) |
| Enumeration Date | 2013-08-06 |
| Last Update Date | 2013-08-06 |