| NPI | 1083836837 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LORELEI MONTELIBANO ORDONEZ Office Manager 213-384-2204 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 27470) |
| Enumeration Date | 2007-05-02 |
| Last Update Date | 2011-05-05 |