| NPI | 1124231345 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ZENAIDA UY SAULOG Dmd Treasurer 562-989-9652 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 37093) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: CA 39906) |
| Enumeration Date | 2007-05-07 |
| Last Update Date | 2016-11-09 |