| NPI | 1124457668 |
|---|---|
| Doing Business As | PEDIATRIC DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | MARISSA FAELDAN-SUAREZ Dentist/Owner 626-968-7525 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: CA 58944) |
| Enumeration Date | 2013-11-05 |
| Last Update Date | 2013-11-05 |