| NPI | 1124483276 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHANIE ANN DODSON Owner 562-230-1116 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: CA 39393) |
| Enumeration Date | 2015-12-16 |
| Last Update Date | 2015-12-16 |