| NPI | 1124547138 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATTY REESER Office Staff 562-694-3984 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 60364) |
| Enumeration Date | 2017-09-12 |
| Last Update Date | 2022-07-21 |