| NPI | 1104090075 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISA J. NAKAGAWA President 310-530-9100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 35958) |
| Enumeration Date | 2008-04-22 |
| Last Update Date | 2008-04-22 |