| NPI | 1134314495 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GLORIA DAYOAN VALDE Owner 323-913-4420 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 23265) |
| Enumeration Date | 2007-09-10 |
| Last Update Date | 2007-09-10 |