| NPI | 1114134384 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID STUART CARLOS C.E.O. 626-585-9544 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics |
| Enumeration Date | 2007-05-17 |
| Last Update Date | 2015-10-14 |