| NPI | 1134325434 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TERESA GONZALEZ REDER President 310-313-1063 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 46423) |
| Enumeration Date | 2007-06-23 |
| Last Update Date | 2020-08-22 |